| NPI | 1033946736 |
|---|---|
| Other Name | JAY VANDYKE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851120010) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2025-08-07 |