JENNIFER LAKE

KIRKLAND, WA
NPI1164079968
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: WA  LH60971860)
Enumeration Date2019-08-26
Last Update Date2019-08-26
Business Address
JENNIFER LAKE
11335 NE 122ND WAY STE 105
KIRKLAND, WA 98034-6933
Phone number: 662-571-2025
Mailing Address
JENNIFER LAKE
1286 CROSS CREEK BLVD
HERNANDO, MS 38632
Phone number: 662-571-2025
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