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1023604139
EMILY LYNN LAKE
SIOUX FALLS, SD
NPI
1023604139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: SD LPC20505)
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
EMILY LYNN LAKE LPC
4300 S LOUISE AVE STE 201
SIOUX FALLS, SD 57106-3124
Phone number: 605-334-7713
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Mailing Address
EMILY LYNN LAKE LPC
4300 S LOUISE AVE STE 201
SIOUX FALLS, SD 57106-3124
Phone number: 605-334-7713
Copy
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