SearchIndiana1041C0700X

Brandy Stark, LCSW

NPI 1912550062 · on the registry since 2019

Practice

Address
3925 S Garthwaite Rd
Gas City, IN 46933
Phone
(812) 447-9580
Organisation at this address
George Junior Republic In Indiana
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-18

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 Indiana