Individual
JOSEPH STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
151 S 4TH ST STE 201, GRAND FORKS, ND 58201-4715
(701) 787-8500
Mailing address
151 S 4TH ST STE 201, GRAND FORKS, ND 58201-4715
(701) 787-8500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4924
ND
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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