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1063700029
AUTUMN E STARKS
OAK PARK, IL
NPI
1063700029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.014692)
Enumeration Date
2011-07-12
Last Update Date
2011-11-02
Business Address
-- AUTUMN E STARKS LCSW
1122 WESTGATE ST SUITE 204A
OAK PARK, IL 60301-1170
Phone number: 810-516-4991
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Mailing Address
-- AUTUMN E STARKS LCSW
1122 WESTGATE ST SUITE 204A
OAK PARK, IL 60301-1170
Phone number: 810-516-4991
Copy
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