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1003204827
MELISSA ANN LAKE
PHOENIX, AZ
NPI
1003204827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2014-12-31
Last Update Date
2022-07-21
Business Address
-- MELISSA ANN LAKE Psy.D.
4552 W COTTONTAIL RD
PHOENIX, AZ 85086-1449
Phone number: 201-232-9916
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Mailing Address
-- MELISSA ANN LAKE Psy.D.
4552 W COTTONTAIL RD
PHOENIX, AZ 85086-1449
Phone number: 201-232-9916
Copy
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