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1023176799
JOHN DANIEL STARK
DECATUR, AL
NPI
1023176799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- JOHN DANIEL STARK MS
4110 HIGHWAY 31 SOUTH
DECATUR, AL 35603
Phone number: 256-355-6105
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Mailing Address
-- JOHN DANIEL STARK MS
1316 SOMERVILLE RD SE SUITE 1
DECATUR, AL 35601-4305
Phone number:
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