Individual
KRISTEN VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 MOSS TRL APT A32, GOODLETTSVILLE, TN 37072-2067
(423) 802-8171
Mailing address
452 MOSS TRL APT A32, GOODLETTSVILLE, TN 37072-2067
(423) 802-8171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8479
TN
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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