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Susan Stark, LCSW-R
NPI 1396283644 · on the registry since 2017 · sole proprietor
Practice
- Address
- 595 W End Ave
Apt. 11b
New York, NY 10024 - Phone
- (917) 797-0485
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-07
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 New York