DONITA MICHELLE LAKE

MOKENA, IL
NPI1710695531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-11-10
Last Update Date2022-11-10
Business Address
DONITA MICHELLE LAKE
11225 FRONT ST
MOKENA, IL 60448-1303
Phone number: 708-537-7332
Mailing Address
DONITA MICHELLE LAKE
236 S PALMER DR
BOLINGBROOK, IL 60490-6571
Phone number: 708-580-2030