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REBECA CRISTINA BACULPO LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1720545197

Individual Registrant:
 REBECA CRISTINA BACULPO LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
1001 SNEATH LN STE 307  SAN BRUNO, CA 94066-2349 US
Tel: 650-244-1447  Fax: --

Contact information for business:
PO BOX 834  SAN LORENZO, CA 94580-0834 US
Tel: 415-225-4244  Fax: --

Registration Information:
NPI: 1720545197
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCSW64040

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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