Individual
JAIME VANDERVOORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSWAIC
Contact information
Practice address
1710 ALLEN ST, KELSO, WA 98626-4907
(360) 261-7020
Mailing address
2506 ALLEN ST # 79, KELSO, WA 98626-5416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWIA.SC.70000729
WA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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