MRS. Kim Saiazar Bautista, LCSW

NPI #1447375217 in Lyons, New York

Provider Information

NPI Number: 1447375217
Entity Type: Individual
Name: MRS. Kim Saiazar Bautista, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1519 NYE ROAD
Address 2: WAYNE BEHAVIORAL HEALTH NETWORK
City: Lyons
State: New York
ZIP Code: 14489
Phone: (315) 946-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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