Individual
MRS. CATHERINE ANN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
540 LACEY ROAD, SUITE 1B, FORKED RIVER, NJ 08731
(609) 242-4090
Mailing address
PO BOX 1444, WALL, NJ 07719
(609) 242-4090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04616000
NJ
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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