DEBORAH A LAKE

JACKSON, MS
NPI1760562789
Former NameDEBORAH A JENNINGS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C0798)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
-- DEBORAH A LAKE LCSW
248 E CAPITOL ST 840 TRUST MARK BLDG
JACKSON, MS 39201-2503
Phone number: 800-632-6074
Mailing Address
-- DEBORAH A LAKE LCSW
PO BOX 10414
LARGO, FL 33773-0414
Phone number: 800-632-6074
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