ROGER LAKE

SAN FRANCISCO, CA
NPI1033438700
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT17914)
Enumeration Date2010-05-20
Last Update Date2010-05-20
Business Address
Mr. ROGER LAKE MFT
1325 COLUMBUS AVE TOP FLOOR
SAN FRANCISCO, CA 94133-1303
Phone number: 415-567-7786
Mailing Address
Mr. ROGER LAKE MFT
1325 COLUMBUS AVE TOP FLOOR
SAN FRANCISCO, CA 94133-1303
Phone number: 415-567-7786
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