Individual
MAGGIE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
1699 SCHOFIELD AVE STE 120, SCHOFIELD, WI 54476-2332
(715) 907-1880
Mailing address
1516 BRAWLEY ST, STEVENS POINT, WI 54481-3508
(715) 572-3533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134885121
WI
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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