Individual
CECILIA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CSW INTERN
Contact information
Practice address
7180 CASCADE VALLEY CT STE 200, LAS VEGAS, NV 89128-0481
(702) 240-8639
Mailing address
7180 CASCADE VALLEY CT STE 200, LAS VEGAS, NV 89128-0481
(702) 240-8639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/09/2022
Last updated
06/22/2023
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