Individual
DR. ROSE MELINDA STARK-ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
22 WILSON AVE NE # 110, SAINT CLOUD, MN 56304-0440
(320) 251-7700
Mailing address
720 4TH AVE S, SH103, SAINT CLOUD, MN 56301-4442
(320) 291-3771
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4670
MN
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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