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Individual
DAVID STARR
Active
Individual
DAVID STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
02130
MA
101Y00000X
Counselor
102130
NULL
101YM0800X
Mental Health Counselor
Primary
102130
MA
101YM0800X
Mental Health Counselor
102130
NULL
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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