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Contact Information

CECILIA BAUTISTA, LMSW, CSW INTERN
7180 CASCADE VALLEY CT STE 200
LAS VEGAS, NV89128-0481
 Phone: 702-240-8639
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for CECILIA BAUTISTA · (Female)

NPI Number 1013638840
Status Active
Credentials LMSW, CSW INTERN
Entity Individual
Enumeration date 09/09/2022
Last updated 06/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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