Individual
THOMAS BABAUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, ACSW,QCSW,IMFT
Contact information
Practice address
222 E CHALAN SANTO PAPA, REFLECTION CENTER STE. 102, HAGATNA, GU 96910-5161
(671) 477-5715
(671) 477-5716
Mailing address
222 E CHALAN SANTO PAPA, REFLECTION CENTER STE. 102, HAGATNA, GU 96910-5161
(671) 477-5715
(671) 477-5716
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF-0054
GU
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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