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1568933828
ANDREA STARK
GRAND RAPIDS, MI
NPI
1568933828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101000164)
Enumeration Date
2018-12-16
Last Update Date
2021-02-05
Business Address
ANDREA STARK MA, CCC-SLP
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8000
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Mailing Address
ANDREA STARK MA, CCC-SLP
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7199
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