Individual
TIMOTHY EARL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 718-5760
Mailing address
3013 NE HUNTINGTON LN, ANKENY, IA 50021-4623
(319) 594-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118505
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118505
SOCIAL WORKER MASTERS LEVEL
IA
Enumeration date
05/26/2023
Last updated
03/26/2025
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