Individual
ALEXANDRA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CAP
Contact information
Practice address
2225 N ANDREWS AVE, WILTON MANORS, FL 33311-3922
(216) 280-8800
Mailing address
2225 N ANDREWS AVE, WILTON MANORS, FL 33311-3922
(216) 280-8800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10679
FL
Other
Enumeration date
06/06/2011
Last updated
06/06/2013
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