Individual
ALEXIS LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LSW
Contact information
Practice address
931 HARRISBURG AVE STE 9, LANCASTER, PA 17603-2652
(717) 544-9051
(717) 735-9234
Mailing address
931 HARRISBURG AVE STE 9, LANCASTER, PA 17603-2652
(717) 544-9051
(717) 735-9234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019825
PA
1041C0700X
Clinical Social Worker
SW127241
PA
Other
Enumeration date
11/01/2009
Last updated
10/15/2019
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