Individual
MRS. JANELL ANN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.T.R.S.
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 212-2671
Mailing address
21535 COLONY ST, SAINT CLAIR SHORES, MI 48080-1841
(586) 774-4951
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
50902
MI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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