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Individual

JULIA TYLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1508 W ARTESIA SQ APT B, GARDENA, CA 90248-4773
(800) 249-1266
Mailing address
3633 E BROADWAY, LONG BEACH, CA 90803-6035
(562) 285-1330

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
118246
CA
106S00000X
Behavior Technician

Other

Enumeration date
07/15/2019
Last updated
09/09/2024
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