Individual
KRISTINA VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1110 YANKEE DOODLE RD, EAGAN, MN 55121-2092
(651) 454-3970
(651) 241-0059
Mailing address
1110 YANKEE DOODLE RD, EAGAN, MN 55121-2092
(651) 454-3970
(651) 241-0059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21099
MN
Other
Enumeration date
03/21/2014
Last updated
01/05/2023
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