Most Relevant Information
Provider Data
| NPI Number: | 1003053760 |
| Provider Name: | PATRICIA ANN STARK LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | X-06263 |
Most Important Dates
| Enumeration Date: | 01/15/2009 |
| Last Updated: | 09/26/2011 |
Provider Practice Location
1600 SAINT MICHAELS DR
SANTA FE
NM
875057615
Practice Location Phone/Fax
| Phone: | 5054736362 |
| Fax: | 5054736467 |
Provider Mailing Location
1600 SAINT MICHAELS DR
SANTA FE
NM
875057615
Provider Mailing Phone/Fax
| Phone: | 5054736362 |
| Fax: | 5054736467 |