Individual
SILVIA STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
79 CHURCH ST, MANASQUAN, NJ 08736-3432
(646) 479-4598
Mailing address
79 CHURCH ST, MANASQUAN, NJ 08736-3432
(646) 479-4598
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00915400
NJ
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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