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1053972554
AMY J. STARK
SAINT LOUIS, MO
NPI
1053972554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2019020274)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
Mrs. AMY J. STARK LCSW
12141 LADUE RD.
SAINT LOUIS, MO 63141-8120
Phone number: 314-336-1011
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Mailing Address
Mrs. AMY J. STARK LCSW
12141 LADUE RD
SAINT LOUIS, MO 63141-8120
Phone number: 314-336-1011
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