Individual
MRS. KATHLEEN ROSE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
22603 THREE NOTCH RD, CALIFORNIA, MD 20619-3074
(301) 769-1176
Mailing address
22603 THREE NOTCH RD, CALIFORNIA, MD 20619-3074
(301) 769-1176
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23467
MD
Other
Enumeration date
12/06/2017
Last updated
03/26/2026
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