Individual
MR. STEPHEN E PRETTYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
(641) 682-1924
Mailing address
110 E MAIN ST, OTTUMWA, IA 52501-2910
(641) 682-8772
(641) 682-1924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06375
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066191
—
IA
01
—
59246
BCBS OF IA GROUP #
IA
Enumeration date
03/29/2007
Last updated
07/09/2007
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