Individual
KIMBERLY STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORTER
Contact information
Practice address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 953-0243
Mailing address
725 BLUEBERRY HILL DR, CANFIELD, OH 44406-1037
(330) 503-1592
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
02/27/2020
Last updated
04/03/2020
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