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Organization
KIMBERLY STARK, PSYD, LLC
Active
Organization
KIMBERLY STARK, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANN STARK-DICKASON PSYD (PSYCHOLOGIST)
(740) 751-7860
Entity
Organization
Contact information
Practice address
1339 1/2 MOUNT VERNON AVE, MARION, OH 43302-5626
(740) 751-7860
Mailing address
1339 1/2 MOUNT VERNON AVE, MARION, OH 43302-5626
(740) 751-7860
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6546
OH
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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