Organization
AMY J. STARK, LLC
Active
Organization
AMY J. STARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J. STARK LCSW (THERAPIST/MANAGER/SOLE MEMBER)
(314) 971-5272
Entity
Organization
Contact information
Practice address
9666 OLIVE BLVD STE 370, OLIVETTE, MO 63132-3025
(314) 971-5272
Mailing address
729 CHIPPENDALE CT, KIRKWOOD, MO 63122-5705
(314) 971-5272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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