CHARLES LAKE

TOLEDO, OH
NPI1396624714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  QMHS)
Enumeration Date2025-08-29
Last Update Date2025-08-29
Business Address
CHARLES LAKE
2345 DORR ST
TOLEDO, OH 43607-3423
Phone number: 419-407-5342
Mailing Address
CHARLES LAKE
2345 DORR ST
TOLEDO, OH 43607-3423
Phone number: 419-407-5342
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