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1861642100
NINA A STARK
LA JOLLA, CA
NPI
1861642100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCS 4510)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
-- NINA A STARK LCSW,BCD
8950 VILLA LA JOLLA DR STE C113
LA JOLLA, CA 92037-1703
Phone number: 760-633-2437
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Mailing Address
-- NINA A STARK LCSW,BCD
8950 VILLA LA JOLLA DR STE C113
LA JOLLA, CA 92037-1703
Phone number: 760-633-2437
Copy
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