Individual
MACKENZIE JOLYNN TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4949 WESTOWN PKWY STE 100, WEST DES MOINES, IA 50266-6704
(563) 260-4303
Mailing address
4949 WESTOWN PKWY STE 100, WEST DES MOINES, IA 50266-6704
(563) 260-4303
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
107383
IA
1041C0700X
Clinical Social Worker
Primary
107383
IA
Other
Enumeration date
06/10/2021
Last updated
12/09/2024
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