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1629825468
TY-JUANA TATAE TAYLOR
LOS ANGELES, CA
NPI
1629825468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 121912)
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
TY-JUANA TATAE TAYLOR LCSW
PO BOX 252221
LOS ANGELES, CA 90025-8978
Phone number: 270-551-5158
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Mailing Address
TY-JUANA TATAE TAYLOR LCSW
PO BOX 252221
LOS ANGELES, CA 90025-8978
Phone number: 270-551-5158
Copy
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