Individual
AMY TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
10574 JUSTIN DR, URBANDALE, IA 50322-3730
(515) 499-4959
Mailing address
490 GRAY AVE, WAUKEE, IA 50263-8105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091985
IA
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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