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Individual
STEPHANIE K. STARKS
Active
Individual
STEPHANIE K. STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S1440100
OH
1041C0700X
Clinical Social Worker
Primary
I.1600116-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
03/11/2014
Last updated
03/10/2020
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