Susan Louise Stark, LCSW

NPI #1114418886 in Fallon, Nevada

Provider Information

NPI Number: 1114418886
Entity Type: Individual
Name: Susan Louise Stark, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 29, 2018
Last Updated: May 4, 2022

Practice Location

Address: 1001 RIO VISTA DR
City: Fallon
State: Nevada
ZIP Code: 89406-5463
Phone: (775) 213-3274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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