Individual
NICHOLE VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12247 STRATFORD DR, CLIVE, IA 50325-8147
(515) 393-6702
Mailing address
25103 CALICO CREEK LN, ADEL, IA 50003-8711
(712) 441-6593
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
072619
IA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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