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Jennifer J Tayko

Social Worker, Clinical in Glendale, CA. Individual provider (NPI-1).

NPI number1679908024
StatusActive
Last updated in NPPESJul 19, 2019

Details

NPI
1679908024
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer J Tayko
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2013
Last updated
Jul 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical87450CAYes
104100000X Social WorkerASW67783CA

Practice location

1540 E Colorado St
Glendale, CA 91205-1514

Phone 818-244-7257 · Fax 818-243-5431

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Phone 310-390-6612 · Fax 310-398-5690

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