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Individual

CHARLES RODNEY STIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCSW

Contact information

Practice address
248 ACADEMY, NEW BRUANFELS, TX 78130-5610
(830) 708-0731
Mailing address
248 ACADEMY, NEW BRUANFELS, TX 78130-5610
(830) 708-0731

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5265
TX
1041C0700X
Clinical Social Worker
Primary
13317
TX

Other

Enumeration date
08/08/2008
Last updated
08/08/2008
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