CORBY RAE STARK

BALSAM LAKE, WI
NPI1780807149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: WI  119 226)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- CORBY RAE STARK MA PC
100 POLK COUNTY PLZ SUITE 50
BALSAM LAKE, WI 54810-9071
Phone number: 715-485-8842
Mailing Address
-- CORBY RAE STARK MA PC
101 PERRY MOUND RD
BALSAM LAKE, WI 54810-9001
Phone number: 612-801-5854
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