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1699829168
RICHARD D LAKE
PUYALLUP, WA
NPI
1699829168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00005258)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mr. RICHARD D LAKE M.S., LMHC
10116 116TH ST E SUITE 202
PUYALLUP, WA 98373-3543
Phone number: 253-904-8592
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Mailing Address
Mr. RICHARD D LAKE M.S., LMHC
10115 63RD AVENUE CT E
PUYALLUP, WA 98373-1165
Phone number: 253-904-8592
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