Individual
CAROL IRENE STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW ACSW
Contact information
Practice address
413 TEAL ROAD, LAFAYETTE, IN 47905-2311
(765) 471-8813
(765) 471-8813
Mailing address
413 TEAL ROAD, LAFAYETTE, IN 47905-2311
(765) 471-8813
(765) 471-8813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000175A
IN
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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