Individual
MS. SHELLY MARIE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3251 W 9TH ST, WATERLOO, IA 50702-5310
(319) 269-6146
(319) 234-0354
Mailing address
3251 W 9TH ST, WATERLOO, IA 50702-5310
(319) 269-6146
(319) 234-0354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01339
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074435
—
IA
Enumeration date
11/08/2021
Last updated
11/08/2021
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