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1396757860
STARKE R FARRELL
JACKSON, MS
NPI
1396757860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS C6287)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
-- STARKE R FARRELL LCSW
248 E CAPITOL ST 840 TRUST MARK BLDG
JACKSON, MS 39201-2503
Phone number: 800-632-6074
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Mailing Address
-- STARKE R FARRELL LCSW
118 N COMMERCE ST PO BOX 726
RIPLEY, MS 38663-2009
Phone number: 662-993-9024
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