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Individual
MS. JUDITH G TIKTINSKY
Active
Individual
MS. JUDITH G TIKTINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 5662
CA
106H00000X
Marriage & Family Therapist
6689
CA
Other
Enumeration date
09/20/2006
Last updated
07/24/2013
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