Individual
JENNIFER LYNN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP, CBIS
Contact information
Practice address
32715 GRAND RIVER AVE, FARMINGTON, MI 48336-3113
(248) 427-1310
Mailing address
8988 TAVISTOCK CT, PLYMOUTH, MI 48170-4718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
03/17/2018
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