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1609998574
JASON STARK
ITHACA, NY
NPI
1609998574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 082965)
Enumeration Date
2007-04-04
Last Update Date
2023-07-07
Business Address
JASON STARK LCSW
903 HANSHAW RD
ITHACA, NY 14850-1530
Phone number: 607-592-2377
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Mailing Address
JASON STARK LCSW
903 HANSHAW RD
ITHACA, NY 14850-1530
Phone number: 607-592-2377
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