Individual
MRS. ANN VANDYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
606 WALL ST, VALPARAISO, IN 46383-2513
(219) 464-3612
Mailing address
4860 ROBB ST, STE 201, WHEAT RIDGE, CO 80033-2162
(888) 948-6789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004775A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO20008531F
—
IN
Enumeration date
04/25/2008
Last updated
08/09/2016
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