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Individual

JOSEPH C VANDYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3188 ATLANTA SERD, SMYRNA, GA 30080-8256
(404) 337-1331
(770) 319-6330
Mailing address
217 RIDGELAND AVE, DECATUR, GA 30030-2057
(404) 337-1331

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005458
GA

Other

Enumeration date
05/28/2015
Last updated
12/07/2015
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