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1255315842
CYNTHIA SUSAN LAKE
AUGUSTA, GA
NPI
1255315842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA CSW003225)
Enumeration Date
2005-12-06
Last Update Date
2012-03-27
Business Address
-- CYNTHIA SUSAN LAKE
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906-3815
Phone number: 706-432-4872
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Mailing Address
-- CYNTHIA SUSAN LAKE
3813 PINE KNOLL CT
MARTINEZ, GA 30907-2820
Phone number: 706-868-1547
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