Individual
KAREN LAKE
Active
Individual
KAREN LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1155
OK
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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