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1235207002
ANN ELIZABETH LAKE
TACOMA, WA
NPI
1235207002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA LW00008946)
Enumeration Date
2006-12-01
Last Update Date
2019-06-18
Business Address
MS. ANN ELIZABETH LAKE M.S.W.
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-982-3685
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Mailing Address
MS. ANN ELIZABETH LAKE M.S.W.
14062 YELM HWY SE
YELM, WA 98597-9792
Phone number: 253-380-6837
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