DERRICK CHRISTOPHER LAKE

DECATUR, GA
NPI1982879490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  csw1003152)
Enumeration Date2008-04-25
Last Update Date2018-03-17
Business Address
DERRICK CHRISTOPHER LAKE LCSW
4229 SNAPFINGER WOODS DR
DECATUR, GA 30035-3440
Phone number: 404-286-9252
Mailing Address
DERRICK CHRISTOPHER LAKE LCSW
4229 SNAPFINGER WOODS DR
DECATUR, GA 30035-3440
Phone number: 404-286-9252
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