Individual
MRS. AMANDA HATTIE VANDER POEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 STOCKDALE HWY, BAKERSFIELD, CA 93309
(661) 868-6100
(661) 868-6150
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-6601
(661) 868-6666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW85103
CA
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
04/15/2015
Last updated
08/22/2018
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