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Individual

ANDREW F VANSLYKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
668 SE BAYBERRY LN STE 101, LEES SUMMIT, MO 64063-4366
(816) 500-6436
Mailing address
668 SE BAYBERRY LN STE 101, LEES SUMMIT, MO 64063-4366
(816) 500-6436

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019046346
MO

Other

Enumeration date
12/23/2019
Last updated
12/23/2019
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