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Haveliah Stark, LMT
NPI 1104377944 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2115 18th St
Charleston, IL 61920 - Phone
- (217) 345-4065
- Organisation at this address
- Gandolfi Chiropractic Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Also registered as
- Massage Therapist
- Licence states on file
- IL, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois