LENNY MANUEL BAUTISTA

JAMAICA PLAIN, MA
NPI1578988416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2014-03-02
Last Update Date2014-05-01
Business Address
-- LENNY MANUEL BAUTISTA
3815 WASHINGTON ST
JAMAICA PLAIN, MA 02130-3745
Phone number: 617-983-5858
Mailing Address
-- LENNY MANUEL BAUTISTA
15 WHITTIER ST APT 6
ROXBURY, MA 02120-3108
Phone number: 857-869-0722