Individual
MRS. BRENDA ROSE STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
4060 E 42ND ST, INDIANAPOLIS, IN 46226-4454
(317) 546-7037
Mailing address
4060 E 42ND ST, INDIANAPOLIS, IN 46226-4454
(317) 546-7037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33004487A
IN
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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