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1477790772
LAVERNE LAKE
WEST PALM BEACH, FL
NPI
1477790772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2009-01-08
Last Update Date
2014-04-30
Business Address
-- LAVERNE LAKE
1639 FORUM PL SUITE 7
WEST PALM BEACH, FL 33401-2330
Phone number: 561-712-8821
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Mailing Address
-- LAVERNE LAKE
1639 FORUM PL SUITE 7
WEST PALM BEACH, FL 33401-2330
Phone number:
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