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Jackuline Fly
NPI 1477807352 · on the registry since 2012 · sole proprietor
Practice
- Address
- 24442 Valencia Blvd
Valencia, CA 91355 - Phone
- (661) 312-3905
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California