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Individual
MS. JODY K VANDRIMMELEN
Active
Individual
MS. JODY K VANDRIMMELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
54373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54373
LICENSE
TX
Enumeration date
11/11/2015
Last updated
11/11/2015
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