Individual
BRANDY STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3925 S GARTHWAITE RD, GAS CITY, IN 46933-1155
(812) 447-9580
Mailing address
3925 S GARTHWAITE RD, GAS CITY, IN 46933-1155
(812) 447-9580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006301A
IN
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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