Individual
MS. MARTHA A STEM-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
201 RIDGE ST, SUITE 105, COUNCIL BLUFFS, IA 51503-4643
(712) 396-7500
Mailing address
24897 310TH ST, NEOLA, IA 51559-4125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00853
IA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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