Individual
PHYLLIS GATESKILL STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4926 COMMON VISTA CT, INDIANAPOLIS, IN 46220-5394
(317) 730-0023
Mailing address
4926 COMMON VISTA CT, INDIANAPOLIS, IN 46220-5394
(317) 730-0023
(317) 988-2884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000936A
IN
Other
Enumeration date
08/20/2006
Last updated
05/18/2022
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