Individual
DIANA BROOKE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
5 FUNDY RD, FALMOUTH, ME 04105-1774
(207) 712-3904
Mailing address
69 HARDY RD, FALMOUTH, ME 04105-2418
(207) 712-3904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4516
ME
Other
Enumeration date
08/03/2015
Last updated
04/25/2018
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