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1063870848
KATHLEEN STARK
EUGENE, OR
NPI
1063870848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-08
Last Update Date
2019-04-09
Business Address
KATHLEEN STARK CADC II
149 W 12TH AVE
EUGENE, OR 97401-3408
Phone number: 541-762-4314
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Mailing Address
KATHLEEN STARK CADC II
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4100
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