JOHN M LAKE

COLVILLE, WA
NPI1861561367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH0005634)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- JOHN M LAKE MSW, LISW
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-6172
Mailing Address
-- JOHN M LAKE MSW, LISW
746 N OAK ST
COLVILLE, WA 99114-3148
Phone number: 509-684-6172
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