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Individual
MR. RONALD JOSEPH STARK
Active
Individual
MR. RONALD JOSEPH STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RAS #S0906221308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RAS #S0906221308
CA
171M00000X
Case Manager/Care Coordinator
Primary
RAS #S0906221308
CA
Other
Enumeration date
03/07/2007
Last updated
12/02/2013
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