Individual
ELLEN ELIZABETH VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6150 VILLAGE VIEW DR STE 102, WEST DES MOINES, IA 50266-5889
(515) 327-7036
Mailing address
6150 VILLAGE VIEW DR STE 102, WEST DES MOINES, IA 50266-5889
(515) 327-7036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100101
IA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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