Individual
AMANDA J. STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5500 GLENDON CT, DUBLIN, OH 43016-3246
(877) 641-2010
(614) 822-3929
Mailing address
PO BOX 182848, COLUMBUS, OH 43218-2848
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00096802
IL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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