Search › Michigan › 225A00000X
Jody Stark, MT-BC
NPI 1992070932 · on the registry since 2012
Practice
- Address
- 15366 Glastonbury Ave
Detroit, MI 48223 - Phone
- (313) 273-7762
- Fax
- (313) 273-0152
- Organisation at this address
- Creative Arts Therapies, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225A00000X
225A00000X
- Sex
- Female
- Record last updated
- 2012-03-08
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 Michigan