Individual
BRIANNE STUCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
007254
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659353670
BLUE CROSS BLUE SHIELD
IA
05
—
1659353670
—
IA
Enumeration date
05/01/2014
Last updated
05/01/2014
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