ANGELA D STARK

FORT WAYNE, IN
NPI1598986671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22004128A)
Enumeration Date2007-05-02
Last Update Date2007-07-09
Business Address
-- ANGELA D STARK SLP
808 MILL LAKE RD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
Mailing Address
-- ANGELA D STARK SLP
124 KLINGER ST
PLYMOUTH, IN 46563-1235
Phone number: 260-338-1241
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