MS. Beverly Jean Lake, MSW

NPI #1881615631 in Taylor, Michigan

Provider Information

NPI Number
1881615631
Entity Type
Individual
Name
MS. Beverly Jean Lake, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
MSW
Enumeration Date
Jul 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
20600 EUREKA ROAD
Address 2
SUITE 819
City
Taylor
ZIP Code
48180
Phone
(734) 285-8282

Specialties & Taxonomy Codes

Specialty
Social Worker

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