CANDACE LAKE MS LMHC PA

WILTON MANORS, FL
NPI1669094967
Entity TypeOrganization
Authorized ContactCANDACE RENEE LAKE
Owner
561-271-0681
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2020-05-11
Last Update Date2020-05-11
Business Address
CANDACE LAKE MS LMHC PA
1650 NE 26TH ST STE 201
WILTON MANORS, FL 33305-1431
Phone number: 561-271-0681
Mailing Address
CANDACE LAKE MS LMHC PA
2883 NE 15TH ST
POMPANO BEACH, FL 33062-3611
Phone number: 561-271-0681
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