Individual provider · Type 1 NPI
Taylor Jaclyn Randall
School Social Worker · Los Angeles, CA
NPI number
1629332200
Active
Practice location
3200 Motor Ave
Los Angeles, CA 90034-3710
Fax (310) 842-9529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | None listed |
School Social Worker: Definition to come...
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About NPI 1629332200
Taylor Jaclyn Randall's National Provider Identifier is 1629332200, issued on Jun 28, 2012. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 8, 2013.