Individual
BRENDA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
405 W 5TH ST STE 658, SANTA ANA, CA 92701-4599
(714) 935-6117
Mailing address
405 W 5TH ST STE 658, SANTA ANA, CA 92701-4599
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW125452
CA
Other
Enumeration date
06/29/2024
Last updated
03/27/2025
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