Individual
JENNIFER STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9363
Mailing address
12 DELORES ST, NEWPORT, NH 03773-2807
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
60094
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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