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1982068730
MAURICIO CUERVO BAUTISTA
ELIZABETH, NJ
NPI
1982068730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NJ 44SC05526600)
Enumeration Date
2016-04-07
Last Update Date
2016-04-07
Business Address
MAURICIO CUERVO BAUTISTA LCSW
1206 MARY ST
ELIZABETH, NJ 07201-1025
Phone number: 908-578-5120
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Mailing Address
MAURICIO CUERVO BAUTISTA LCSW
1206 MARY ST
ELIZABETH, NJ 07201-1025
Phone number: 908-578-5120
Copy
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