Individual
MISS TAYLOR JACLYN RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 842-9529
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 842-9529
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
10/08/2013
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