BEVERLY JEAN LAKE

TAYLOR, MI
NPI1881615631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6801011987)
Enumeration Date2006-07-21
Last Update Date2007-07-08
Business Address
Ms. BEVERLY JEAN LAKE MSW
20600 EUREKA ROAD SUITE 819
TAYLOR, MI 48180
Phone number: 734-285-8282
Mailing Address
Ms. BEVERLY JEAN LAKE MSW
5493 GREENWAY DRIVE
TRENTON, MI 48183-7207
Phone number: 734-692-0382
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