Individual
KATHY VANDERWARF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FP
Contact information
Practice address
3718 W WHITMAN DR, ANTHEM, AZ 85086-2716
(623) 551-9473
Mailing address
3718 W WHITMAN DR, ANTHEM, AZ 85086-2716
(623) 551-9473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
927288
—
AZ
Enumeration date
02/19/2008
Last updated
02/19/2008
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