Katelyn Belle Van Vickle, LSW

NPI #1104582451 in Gibson City, Illinois

Provider Information

NPI Number: 1104582451
Entity Type: Individual
Name: Katelyn Belle Van Vickle, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Nov 11, 2021
Last Updated: Nov 11, 2021

Practice Location

Address: 7 DOCTORS PARK
City: Gibson City
State: Illinois
ZIP Code: 60936-2000
Phone: (217) 784-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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