Search › Nevada › 1041C0700X
Susan Stark, LCSW
NPI 1114418886 · on the registry since 2018
Practice
- Address
- 1001 Rio Vista Dr
Fallon, NV 89406 - Phone
- (775) 213-3274
- Organisation at this address
- Fallon Tribal Health Center
Stillwater Tribal Senior CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada