JOLENE STARK

BLOOMINGTON, MN
NPI1023698743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2021-04-08
Last Update Date2021-04-08
Business Address
JOLENE STARK LADC
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420-1402
Phone number: 952-854-5034
Mailing Address
JOLENE STARK LADC
17088 ADELMANN ST SE APT 308
PRIOR LAKE, MN 55372-2281
Phone number:
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