Individual
AMANDA CAROLE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
729 ARAPEEN DR, SALT LAKE CITY, UT 84108-1218
(801) 587-8368
Mailing address
729 ARAPEEN DR, SALT LAKE CITY, UT 84108-1218
(801) 587-8368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8345344-4104
UT
Other
Enumeration date
07/11/2012
Last updated
11/19/2021
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