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1184648081
BENJAMIN THOMAS HOUSE
DES MOINES, IA
NPI
1184648081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 0744)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- BENJAMIN THOMAS HOUSE LISW
1119 RAVINA DR
DES MOINES, IA 50313-3211
Phone number: 515-288-4120
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Mailing Address
-- BENJAMIN THOMAS HOUSE LISW
1119 RAVINA DR
DES MOINES, IA 50313-3211
Phone number: 515-288-4120
Copy
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