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1629643283
RENEE ANNE LAKE
MOUNT PLEASANT, SC
NPI
1629643283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: SC 4708)
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
Dr. RENEE ANNE LAKE Ph.D.
3003 DUNES WEST BLVD STE 3
MOUNT PLEASANT, SC 29466-8001
Phone number: 843-352-4060
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Mailing Address
Dr. RENEE ANNE LAKE Ph.D.
2655 PARK WEST BLVD
MOUNT PLEASANT, SC 29466-7246
Phone number: 315-521-3166
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