Tamera Nicole Lake, LSW

NPI #1386419232 in Whitehall, Ohio

Provider Information

NPI Number: 1386419232
Entity Type: Individual
Name: Tamera Nicole Lake, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Nov 21, 2023
Last Updated: Sep 12, 2024

Practice Location

Address: 4653 E MAIN ST
City: Whitehall
State: Ohio
ZIP Code: 43213-3298
Phone: (614) 875-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary
Counselor	101Y00000X

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