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Individual
MR. SHERARD STARKS
Active
Individual
MR. SHERARD STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2018011512
MO
1041C0700X
Clinical Social Worker
108421
TX
1041C0700X
Clinical Social Worker
Primary
2020027643
MO
1041C0700X
Clinical Social Worker
34010043A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018011512
LICENSE
MO
Enumeration date
09/26/2018
Last updated
01/19/2023
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