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1730605999
PEGGY STARK
NEVADA, MO
NPI
1730605999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2020008501)
Enumeration Date
2017-08-19
Last Update Date
2020-03-20
Business Address
PEGGY STARK LCSW
320 MAC BLVD
NEVADA, MO 64772-3990
Phone number: 888-403-1071
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Mailing Address
PEGGY STARK LCSW
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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