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Organization
TENDER LOVING CARE MEDICAL SOCIAL WORKER AGENCY, INC.
Active
Organization
TENDER LOVING CARE MEDICAL SOCIAL WORKER AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVETTE ANTOINETTE JACKSON LCSW (CHIEF EXECUTIVE OFFICER)
(323) 253-9780
Entity
Organization
Contact information
Practice address
400 CORPORATE POINTE, SUITE 300, CULVER CITY, CA 90230-7615
(424) 750-3133
(424) 750-3135
Mailing address
400 CORPORATE POINTE, SUITE 300, CULVER CITY, CA 90230-7615
(424) 750-3133
(424) 750-3135
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
65069
CA
251S00000X
Community/Behavioral Health Agency
Primary
65069
CA
Other
Enumeration date
08/05/2010
Last updated
03/23/2016
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