Individual
MRS. LAKISHA STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12402 TURTLE DOVE PL, WALDORF, MD 20602-1400
(631) 525-8338
Mailing address
12402 TURTLE DOVE PL, WALDORF, MD 20602-1400
(631) 525-8338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LG50080641
DC
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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