Individual
TIMOTHY CARL VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
909 S 20TH ST, FORT SMITH, AR 72901-4815
(479) 407-4638
Mailing address
2018 S O ST, FORT SMITH, AR 72901-5652
(479) 407-4638
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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