NPI | 1922286079 |
---|---|
Former Legal Business Name | JO L. VANDERKLOOT CSW, P.C. |
Entity Type | Organization |
Authorized Contact | JO L VANDERKLOOT President 845-986-3560 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R-029237-1) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2008-01-31 |