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1528896958
LAKE WELLNESS, LLC
ROCKLEDGE, FL
NPI
1528896958
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Entity Type
Organization
Authorized Contact
MICHAEL H LAKE
President
321-626-4513
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-25
Last Update Date
2024-08-05
Business Address
LAKE WELLNESS, LLC
590 SOLUTIONS WAY STE 120
ROCKLEDGE, FL 32955-3623
Phone number: 321-626-4513
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Mailing Address
LAKE WELLNESS, LLC
590 SOLUTIONS WAY STE 120
ROCKLEDGE, FL 32955-3623
Phone number: 321-626-4513
Copy
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