Individual
MRS. AMY J. STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12141 LADUE RD., SAINT LOUIS, MO 63141-8120
(314) 336-1011
(314) 878-4524
Mailing address
12141 LADUE RD, SAINT LOUIS, MO 63141-8120
(314) 336-1011
(314) 878-4524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019020274
MO
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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