Heather Sue Stark

NPI #1689185605 in Kennett, Missouri

Provider Information

NPI Number: 1689185605
Entity Type: Individual
Name: Heather Sue Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 17, 2017
Last Updated: Oct 17, 2017

Practice Location

Address: 1201 ELY ST
City: Kennett
State: Missouri
ZIP Code: 63857-1336
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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