Individual
JENNIFER PRETTYBULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWLC
Contact information
Practice address
63 BOGEY DR, POLSON, MT 59860-9656
(646) 860-8904
Mailing address
PO BOX 1183, POLSON, MT 59860-1183
(646) 860-8904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BBH-SWLC-LIC-62383
MT
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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