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1659526119
KATHERINE STARK
SACRAMENTO, CA
NPI
1659526119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2008-11-25
Last Update Date
2008-11-25
Business Address
KATHERINE STARK
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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Mailing Address
KATHERINE STARK
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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