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Individual

ALEXANDRA JADE STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2008 BREMO RD STE 111, RICHMOND, VA 23226-2443
(804) 918-1115
Mailing address
1321 MCDONOUGH ST UNIT B, RICHMOND, VA 23224-2143
(571) 480-0365

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0734008716
VA

Other

Enumeration date
03/17/2023
Last updated
03/17/2023
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