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1033438700
ROGER LAKE
SAN FRANCISCO, CA
NPI
1033438700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT17914)
Enumeration Date
2010-05-20
Last Update Date
2010-05-20
Business Address
Mr. ROGER LAKE MFT
1325 COLUMBUS AVE TOP FLOOR
SAN FRANCISCO, CA 94133-1303
Phone number: 415-567-7786
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Mailing Address
Mr. ROGER LAKE MFT
1325 COLUMBUS AVE TOP FLOOR
SAN FRANCISCO, CA 94133-1303
Phone number: 415-567-7786
Copy
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