Individual
SAMANTHA VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
(513) 680-3319
Mailing address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
(513) 680-3319
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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