Individual
VIRGINIA VANDERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
854 YORK PL, LIBERTY, MO 64068-3051
(704) 724-4087
Mailing address
854 YORK PL, LIBERTY, MO 64068-3051
(704) 724-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13598
KS
104100000X
Social Worker
Primary
2023040170
MO
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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