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1801169420
ELLEN STARK
LAS VEGAS, NV
NPI
1801169420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TR0400X Psychologist, Rehabilitation
(Licence: NJ 44sl04303600)
Enumeration Date
2012-02-13
Last Update Date
2012-02-13
Business Address
Mrs. ELLEN STARK LSW
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113-0156
Phone number: 702-650-6508
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Mailing Address
Mrs. ELLEN STARK LSW
4955 S DURANGO DR STE 207
LAS VEGAS, NV 89113-0156
Phone number: 702-650-6508
Copy
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