Individual
MARY ROSE WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 E 17TH ST, DES MOINES, IA 50316-4019
(937) 478-1853
Mailing address
1307 E 17TH ST, DES MOINES, IA 50316-4019
(937) 478-1853
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112483
IA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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