MATTHEW R LAKE

WARREN, MI
NPI1790326080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-10-08
Last Update Date2020-09-29
Business Address
Mr. MATTHEW R LAKE
3601 E 11 MILE RD
WARREN, MI 48092-2878
Phone number: 303-989-8169
Mailing Address
Mr. MATTHEW R LAKE
3601 E 11 MILE RD
WARREN, MI 48092-2878
Phone number: 303-989-8169
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