JERALD JEOFREY VANDEVOORT

LEAVENWORTH, KS
NPI1659337954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: KS  4315)
Enumeration Date2006-04-25
Last Update Date2007-07-08
Business Address
-- JERALD JEOFREY VANDEVOORT LMSW
4101 S 4TH ST
LEAVENWORTH, KS 66048-5014
Phone number: 913-682-2000
Mailing Address
-- JERALD JEOFREY VANDEVOORT LMSW
1419 MARION ST
LEAVENWORTH, KS 66048-4139
Phone number: 913-651-7665
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