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1669094967
CANDACE LAKE MS LMHC PA
WILTON MANORS, FL
NPI
1669094967
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Entity Type
Organization
Authorized Contact
CANDACE RENEE LAKE
Owner
561-271-0681
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
CANDACE LAKE MS LMHC PA
1650 NE 26TH ST STE 201
WILTON MANORS, FL 33305-1431
Phone number: 561-271-0681
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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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