SUSAN LAKE

SAN RAFAEL, CA
NPI1962784488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225C00000X Rehabilitation Counselor
Additional Taxonomies103T00000X Psychologist
Enumeration Date2011-09-10
Last Update Date2020-12-17
Business Address
SUSAN LAKE PsyD
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901-2142
Phone number: 415-459-5999
Mailing Address
SUSAN LAKE PsyD
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA 94901-2142
Phone number: 415-459-5999
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