JILLIAN LAKE

DES MOINES, IA
NPI1023628724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  101688)
Enumeration Date2020-08-06
Last Update Date2023-08-14
Business Address
JILLIAN LAKE
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number: 515-244-2267
Mailing Address
JILLIAN LAKE
105 BRADFORD RD STE 400
WEXFORD, PA 15090-6920
Phone number:
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