Individual
GLENDA R STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
(901) 353-5440
(901) 353-5464
Mailing address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
(901) 353-5440
(901) 353-5464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6599
TN
1041C0700X
Clinical Social Worker
Primary
5101
TN
Other
Enumeration date
02/24/2009
Last updated
06/18/2012
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