Individual
BENJAMIN THOMAS HOUSE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1119 RAVINA DR, DES MOINES, IA 50313-3211
(515) 288-4120
(515) 244-0714
Mailing address
1119 RAVINA DR, DES MOINES, IA 50313-3211
(515) 288-4120
(515) 244-0714
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0744
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113290
—
IA
Enumeration date
07/26/2006
Last updated
07/08/2007
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