Individual
PATTY L STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA MS EDS
Contact information
Practice address
400 W COLFAX ST, BRECKENRIDGE, MO 64625-9608
(660) 644-5715
(660) 644-5710
Mailing address
400 W COLFAX ST, BRECKENRIDGE, MO 64625-9608
(660) 644-5715
(660) 644-5710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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