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1487349726
ALICIA DANIELLE LAKE
LINCOLN, NE
NPI
1487349726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 2450)
Enumeration Date
2023-04-11
Last Update Date
2024-10-25
Business Address
ALICIA DANIELLE LAKE
420 VICTORY PARK DR
LINCOLN, NE 68510-2484
Phone number: 402-486-3802
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Mailing Address
ALICIA DANIELLE LAKE
420 VICTORY PARK DR
LINCOLN, NE 68510-2484
Phone number: 402-486-3802
Copy
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