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1700344579
LAUREN LAKE
COLUMBIA, MD
NPI
1700344579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LC8545)
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
LAUREN LAKE LCPC
10805 HICKORY RIDGE RD STE 103
COLUMBIA, MD 21044-3868
Phone number: 410-387-2763
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Mailing Address
LAUREN LAKE LCPC
5347 COLUMBIA RD APT E
COLUMBIA, MD 21044-5527
Phone number:
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