Charlisa Martrell Stark, PLPC
NPI #1902931447 in Versailles, Missouri
Provider Information
- NPI Number
- 1902931447
- Entity Type
- Individual
- Name
- Charlisa Martrell Stark, PLPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- PLPC
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 108 W JASPER ST
- City
- Versailles
- State
- Missouri
- ZIP Code
- 65084-1020
- Phone
- (573) 378-6833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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