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Individual

CHRISTA ROSE STARKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2720103
MI
103TS0200X
School Psychologist
Primary
SP0000000772488
MI

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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