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1841041027
KATELYN VANDEVER
SAN RAFAEL, CA
NPI
1841041027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 120967)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
KATELYN VANDEVER ASW #120967
822 D ST
SAN RAFAEL, CA 94901-2814
Phone number: 917-526-1913
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Mailing Address
KATELYN VANDEVER ASW #120967
72 OAK KNOLL AVE
SAN ANSELMO, CA 94960-1868
Phone number: 917-526-1913
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