GEOFFREY ALLYN LAKE

SHAKER HEIGHTS, OH
NPI1982952503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  S.1200724)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- GEOFFREY ALLYN LAKE LSW
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118-4819
Phone number: 216-932-6152
Mailing Address
-- GEOFFREY ALLYN LAKE LSW
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118-4819
Phone number: 216-932-6152
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