MS. Haveliah Stark, LMT

NPI #1104377944 in Charleston, Illinois

Provider Information

NPI Number: 1104377944
Entity Type: Individual
Name: MS. Haveliah Stark, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 17, 2016
Last Updated: Oct 17, 2016

Practice Location

Address: 2115 18TH ST
City: Charleston
State: Illinois
ZIP Code: 61920-4338
Phone: (217) 345-4065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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