Provider Demographics
NPI:1154711935
Name:WOLTKAMP, CLAUDIA JEAN
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:JEAN
Last Name:WOLTKAMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 WETHERLY CIR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:95258-9733
Mailing Address - Country:US
Mailing Address - Phone:209-327-7224
Mailing Address - Fax:
Practice Address - Street 1:102 S SAN JOAQUIN ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95202-3213
Practice Address - Country:US
Practice Address - Phone:209-468-3810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker