Individual
MRS. EVELYN BAUTISTA-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(555) 555-5555
Mailing address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(555) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
070621-1
NY
Other
Enumeration date
12/18/2008
Last updated
06/17/2014
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