Geoffrey Allyn Lake, LSW
NPI #1982952503 in Shaker Heights, Ohio
Provider Information
- NPI Number
- 1982952503
- Entity Type
- Individual
- Name
- Geoffrey Allyn Lake, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LSW
- Enumeration Date
- Aug 29, 2012
- Last Updated
- Aug 29, 2012
Practice Location
- Address
- 22001 FAIRMOUNT BLVD
- City
- Shaker Heights
- State
- Ohio
- ZIP Code
- 44118-4819
- Phone
- (216) 932-6152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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