MS. Kathleen Elizabeth Bautista, LCSW

NPI #1063836104 in Lincoln, Illinois

Provider Information

NPI Number
1063836104
Entity Type
Individual
Name
MS. Kathleen Elizabeth Bautista, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 10, 2014
Last Updated
Jul 27, 2023

Practice Location

Address
100 STAHLHUT DR
ZIP Code
62656-5059
Phone
(217) 735-9555

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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