Individual
CHRISTINE MARLENE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
5810 SEILER RD, DORSEY, IL 62021-1710
(618) 581-2094
Mailing address
5810 SEILER RD, DORSEY, IL 62021-1710
(618) 581-2094
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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