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1467283887
JEFFREY LAKE
SCRANTON, PA
NPI
1467283887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
JEFFREY LAKE
116 LARCH ST FL 3
SCRANTON, PA 18509-2802
Phone number: 570-489-5561
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Mailing Address
JEFFREY LAKE
116 LARCH ST FL 3
SCRANTON, PA 18509-2802
Phone number:
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