Search › New Jersey › 1041C0700X
Mauricio Cuervo Bautista, LCSW
NPI 1982068730 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1206 Mary St
Elizabeth, NJ 07201 - Phone
- (908) 578-5120
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey