Most Relevant Information
Provider Data
| NPI Number: | 1003369778 |
| Provider Name: | PATRICIA ANN DUPREE-BAUTISTA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 9258 |
Most Important Dates
| Enumeration Date: | 07/29/2016 |
| Last Updated: | 07/29/2016 |
Provider Practice Location
95 THOMASTON AVE
WATERBURY
CT
067021007
Practice Location Phone/Fax
| Phone: | 2038055383 |
| Fax: |
Provider Mailing Location
95 THOMASTON AVE
WATERBURY
CT
067021007
Provider Mailing Phone/Fax
| Phone: | 2038055383 |
| Fax: |