Tara Vanderpool
NPI #1629431333 in Green River, Wyoming
Provider Information
- NPI Number
- 1629431333
- Entity Type
- Individual
- Name
- Tara Vanderpool
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 30, 2016
- Last Updated
- Mar 30, 2016
Practice Location
- Address
- 1425 E TETON BLVD APT 4
- City
- Green River
- State
- Wyoming
- ZIP Code
- 82935-5873
- Phone
- (307) 349-7565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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