Individual
ARDELLA VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14090 CALL OF THE WILD DR, AKELEY, MN 56433
(763) 412-8319
Mailing address
14190 CALL OF THE WILD DR, AKELEY, MN 56433-2606
(673) 412-8319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15683
MN
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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