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1568841005
JOSEPH C VANDYCK
SMYRNA, GA
NPI
1568841005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW005458)
Enumeration Date
2015-05-28
Last Update Date
2015-12-07
Business Address
JOSEPH C VANDYCK LCSW
3188 ATLANTA SERD
SMYRNA, GA 30080-8256
Phone number: 404-337-1331
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Mailing Address
JOSEPH C VANDYCK LCSW
217 RIDGELAND AVE
DECATUR, GA 30030-2057
Phone number: 404-337-1331
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