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Individual

TERRI STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 N FOREST AVE, INDEPENDENCE, MO 64050-2696
(816) 521-5300
Mailing address
1403 COLLEGE HILL ST, PLEASANT HILL, MO 64080-1515

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
08/28/2017
Last updated
08/28/2017
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