Samantha Rae Lake, LICSW
NPI #1740852284 in Brainerd, Minnesota
Provider Information
- NPI Number
- 1740852284
- Entity Type
- Individual
- Name
- Samantha Rae Lake, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jul 14, 2021
- Last Updated
- Aug 21, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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