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1780712943
DIANE JEAN STARK
BRENTWOOD, TN
NPI
1780712943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN 746)
Enumeration Date
2007-03-01
Last Update Date
2007-10-13
Business Address
DIANE JEAN STARK MSSW LCSW
5034 THOROUGHBRED LN STE D
BRENTWOOD, TN 37027-4231
Phone number: 615-507-2082
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Mailing Address
DIANE JEAN STARK MSSW LCSW
5034 THOROUGHBRED LN STE D
BRENTWOOD, TN 37027-4231
Phone number: 615-507-2082
Copy
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