ELAINE LAKE

SALT LAKE CITY, UT
NPI1558566026
Former NameELAINE LOVELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  6552204-4102)
Enumeration Date2007-06-15
Last Update Date2007-07-08
Business Address
-- ELAINE LAKE MA CCC-SLP
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2635
Mailing Address
-- ELAINE LAKE MA CCC-SLP
248 UNIVERSITY ST
SALT LAKE CITY, UT 84102-2612
Phone number:
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