Individual
CAROLINE LYNN SOON STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2303 WYCLIFF ST STE W210, SAINT PAUL, MN 55114-1272
(612) 424-0434
(877) 905-7069
Mailing address
2303 WYCLIFF ST STE W210, SAINT PAUL, MN 55114-1272
(612) 424-0434
(877) 905-7069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26684
MN
Other
Enumeration date
09/09/2020
Last updated
03/21/2024
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