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1457000390
MICHAEL STARK
NEW HAVEN, CT
NPI
1457000390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NH 1507)
Enumeration Date
2022-03-19
Last Update Date
2022-03-19
Business Address
MICHAEL STARK
55 LOCK ST
NEW HAVEN, CT 06511-3603
Phone number: 203-432-0290
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Mailing Address
MICHAEL STARK
55 LOCK ST
NEW HAVEN, CT 06511-3603
Phone number:
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