Stark, Jeanne L

Stark, Jeanne L is an individual health care provider with primary practice located at 3351 Claystone St Se Ste. 212, Grand Rapids MI 49546-5781. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Stark, Jeanne L can be contacted via phone (616) 954-1992.

Contact Information

Primary practice address
3351 Claystone St Se Ste. 212 Grand Rapids MI 49546-5781
Phone: (616) 954-1992
Fax: (616) 954-1998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801088180 Michigan

Profile Details

NPI number 1194886846
LBN Legal business name Stark, Jeanne L
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jan 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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