Individual
SARAH ANNE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1127 N. KICKAPOO ST., SHAWNEE, OK 74801-4845
(405) 214-0116
Mailing address
1127 N. KICKAPOO ST., SHAWNEE, OK 74801-4845
(405) 214-0116
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5978
OK
Other
Enumeration date
07/08/2013
Last updated
03/16/2016
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