Individual
JODY CONRADI STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
15366 GLASTONBURY AVE, DETROIT, MI 48223-2211
(313) 273-7762
(313) 273-0152
Mailing address
15366 GLASTONBURY AVE, DETROIT, MI 48223-2211
(313) 273-7762
(313) 273-0152
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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