Individual
TEHNIJAH L JAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NAVAJO ROUTE 12 & 64, TSAILE, AZ 86556
(928) 724-3714
(928) 724-3791
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7166
(928) 674-7707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11202
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/07/2007
Last updated
01/29/2024
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