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1023048410
SUZANNE MARIE LAKE
PASADENA, CA
NPI
1023048410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY13922)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Dr. SUZANNE MARIE LAKE Psy.D.
2810 E DEL MAR BLVD SUITE A
PASADENA, CA 91107-4321
Phone number: 626-795-8148
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Mailing Address
Dr. SUZANNE MARIE LAKE Psy.D.
2810 E DEL MAR BLVD SUITE A
PASADENA, CA 91107-4321
Phone number: 626-795-8148
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