Individual
SARAH RENEE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
5025 ANN ARBOR RD, JACKSON, MI 49201-8801
(517) 879-1505
Mailing address
3317 PINE CREEK DR, BRIGHTON, MI 48114-8663
(248) 974-5063
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2011
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