Individual
MS. ANN ELIZABETH LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 982-3685
Mailing address
14062 YELM HWY SE, YELM, WA 98597-9792
(253) 380-6837
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00008946
WA
Other
Enumeration date
12/01/2006
Last updated
06/18/2019
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