RONALD LAKE

DULUTH, MN
NPI1487959698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  15686)
Enumeration Date2011-01-19
Last Update Date2011-01-19
Business Address
Mr. RONALD LAKE MSW LICSW
215 N 1ST AVE E
DULUTH, MN 55802-2058
Phone number: 218-590-1894
Mailing Address
Mr. RONALD LAKE MSW LICSW
215 N 1ST AVE E
DULUTH, MN 55802-2058
Phone number: 218-590-1894
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