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1821260159
ELIZABETH LAKE IRWIN
ISSAQUAH, WA
NPI
1821260159
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Former Name
ELIZABETH LAKE CORNUTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY00003798)
Enumeration Date
2008-03-26
Last Update Date
2008-03-26
Business Address
Dr. ELIZABETH LAKE IRWIN PhD
5837 221ST PL SE
ISSAQUAH, WA 98027-8917
Phone number: 425-391-0887
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Mailing Address
Dr. ELIZABETH LAKE IRWIN PhD
5837 221ST PL SE
ISSAQUAH, WA 98027-8917
Phone number:
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