MS. Joan T. Stark, MA

NPI #1851414429 in Gallup, New Mexico

Provider Information

NPI Number: 1851414429
Entity Type: Individual
Name: MS. Joan T. Stark, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: MA
Enumeration Date: Apr 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 E AZTEC AVE
City: Gallup
State: New Mexico
ZIP Code: 87301-5509
Phone: (505) 721-1825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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