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Individual

MS. KAROLYN STARK STANLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW, LPA

Contact information

Practice address
504B DEXTER ST, GREENVILLE, NC 27834-6333
(252) 353-1114
(252) 353-1119
Mailing address
201 LAKE RD, GREENVILLE, NC 27834-4927
(252) 341-5836

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1700
NC
1041C0700X
Clinical Social Worker
COO1977
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6002714
NC
01
79272
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
01/25/2006
Last updated
09/11/2025
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