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1487622197
KAREN D LAKE
COLUMBIA, SC
NPI
1487622197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 000690)
Enumeration Date
2006-03-09
Last Update Date
2007-08-08
Business Address
Dr. KAREN D LAKE Ph.D
1 WINDSOR CV SUITE 108
COLUMBIA, SC 29223-1833
Phone number: 803-699-8887
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Mailing Address
Dr. KAREN D LAKE Ph.D
1012 BALLENTINE RD
BLYTHEWOOD, SC 29016-8346
Phone number: 803-699-8887
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