Individual
MS. PATRICIA ANN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1600 SAINT MICHAELS DR, SANTA FE, NM 87505-7615
(505) 473-6362
(505) 473-6467
Mailing address
1600 SAINT MICHAELS DR, SANTA FE, NM 87505-7615
(505) 473-6362
(505) 473-6467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS17604
CA
1041C0700X
Clinical Social Worker
Primary
X-06263
NM
Other
Enumeration date
01/15/2009
Last updated
09/26/2011
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