Starks Therapy Group | |
1122 Westgate St 201a Oak Park IL 60301 | |
(708) 689-9568 | |
Not Available |
Full Name | Starks Therapy Group |
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Speciality | Social Worker - Clinical |
Location | 1122 Westgate St, Oak Park, Illinois |
Authorized Official Name and Position | Autumn Starks (OWNER) |
Authorized Official Contact | 7086899568 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Starks Therapy Group 1122 Westgate St 201a Oak Park IL 60301 Ph: () - | Starks Therapy Group 1122 Westgate St 201a Oak Park IL 60301 Ph: (708) 689-9568 |
NPI Number | 1346750270 |
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Provider Enumeration Date | 10/05/2017 |
Last Update Date | 10/05/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346750270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.009523 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.014692 (Illinois) | Primary |
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