Individual
ANNA STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
434 SCOTT ST, COVINGTON, KY 41011-2342
(859) 547-5784
Mailing address
9500 EAST BEND RD, PO BOX 288, BURLINGTON, KY 41005
(859) 586-4916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1519
KY
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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