DIANE JEAN STARK

BRENTWOOD, TN
NPI1780712943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TN  746)
Enumeration Date2007-03-01
Last Update Date2007-10-13
Business Address
-- DIANE JEAN STARK MSSW LCSW
5034 THOROUGHBRED LN STE D
BRENTWOOD, TN 37027-4231
Phone number: 615-507-2082
Mailing Address
-- DIANE JEAN STARK MSSW LCSW
5034 THOROUGHBRED LN STE D
BRENTWOOD, TN 37027-4231
Phone number: 615-507-2082