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1578986923
LAKE PSYCHOLOGICAL SERVICES, LLC
COLUMBIA, SC
NPI
1578986923
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Entity Type
Organization
Authorized Contact
KAREN DOWNS LAKE
Owner
803-699-8887
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 690)
Enumeration Date
2014-01-21
Last Update Date
2014-01-23
Business Address
LAKE PSYCHOLOGICAL SERVICES, LLC
115 ATRIUM WAY SUITE 221
COLUMBIA, SC 29223-6383
Phone number: 803-699-8887
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Mailing Address
LAKE PSYCHOLOGICAL SERVICES, LLC
PO BOX 707
BLYTHEWOOD, SC 29016-0707
Phone number: 803-699-8887
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