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1093123374
ANDREW STARK
DALLAS, OR
NPI
1093123374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-07-30
Last Update Date
2014-07-30
Business Address
-- ANDREW STARK
182 SW ACADEMY ST SUITE 333
DALLAS, OR 97338-1922
Phone number: 503-831-5970
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Mailing Address
-- ANDREW STARK
182 SW ACADEMY ST SUITE 333
DALLAS, OR 97338-1922
Phone number: 503-831-5970
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