JASON STARK

ITHACA, NY
NPI1609998574
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  082965)
Enumeration Date2007-04-04
Last Update Date2023-07-07
Business Address
JASON STARK LCSW
903 HANSHAW RD
ITHACA, NY 14850-1530
Phone number: 607-592-2377
Mailing Address
JASON STARK LCSW
903 HANSHAW RD
ITHACA, NY 14850-1530
Phone number: 607-592-2377