MRS. Kathleen Rose Stark, LGSW

NPI #1508371089 in Lexington Park, Maryland

Provider Information

NPI Number: 1508371089
Entity Type: Individual
Name: MRS. Kathleen Rose Stark, LGSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LGSW
Enumeration Date: Dec 6, 2017
Last Updated: Dec 6, 2017

Practice Location

Address: 21789 N CORAL DR
City: Lexington Park
State: Maryland
ZIP Code: 20653-5517
Phone: (240) 237-8405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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