MARYANN LAKE

CARMEL, IN
NPI1326383878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34005661A)
Enumeration Date2012-12-10
Last Update Date2014-01-03
Business Address
-- MARYANN LAKE LCSW
703 PRO-MED LN
CARMEL, IN 46032-5317
Phone number: 317-843-9922
Mailing Address
-- MARYANN LAKE LCSW
703 PRO-MED LN
CARMEL, IN 46032-5317
Phone number: 317-843-9922
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