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Carl Stark, LCSW

NPI 1194827303 · on the registry since 2006

Practice

Address
Highway 60 22 West
Blandyway Office Park
Milledgeville, GA 31061
Phone
(478) 445-1290
Fax
(478) 445-1296
Clinicians at this address
2

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-02
Status
Not present in the most recent federal file

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 Georgia