Individual
TIMOTHY S STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
525 31ST AVE SW, MINOT, ND 58701-7036
(701) 500-5430
(701) 355-6800
Mailing address
PO BOX 5007, MINOT, ND 58702-5007
(701) 858-0115
(701) 852-1190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3845
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74088
—
ND
Enumeration date
08/17/2007
Last updated
12/12/2023
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