Individual
HEIDI STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
213 HOSPITAL RD E, PHILADELPHIA, MS 39350-2119
(601) 663-1210
(601) 663-1211
Mailing address
213 HOSPITAL RD E, PHILADELPHIA, MS 39350-2119
(601) 663-1210
(601) 663-1211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8556
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8556
MS LICENSE #
MS
Enumeration date
04/10/2017
Last updated
04/10/2017
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