MR. Alan Harris Lake, LCSW

NPI #1184735532 in Bloomfield, Connecticut

Provider Information

NPI Number: 1184735532
Entity Type: Individual
Name: MR. Alan Harris Lake, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 31, 2006
Last Updated: Jan 14, 2014

Practice Location

Address: 9 OLD ORCHARD RD
City: Bloomfield
State: Connecticut
ZIP Code: 06002-2259
Phone: (860) 402-4402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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