TARA VANDERPOOL

Case Manager/Care Coordinator

Active Individual
NPI: 1629431333

Practice Address

1425 E TETON BLVD APT 4
Green River, WY 82935

Phone: (307) 349-7565

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1629431333 is the National Provider Identifier for TARA VANDERPOOL, a Case Manager/Care Coordinator provider located in Green River, WY. This NPI was enumerated on March 30, 2016.
TARA VANDERPOOL practices at 1425 E TETON BLVD APT 4, Green River, WY 82935.

Quick Facts

NPI
1629431333
Type
Individual
Enumerated
Mar 30, 2016
Last Updated
Mar 30, 2016

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