Individual
NANCY BIRGITTA LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, BCD
Contact information
Practice address
332 S LINN ST, SUITE 17, IOWA CITY, IA 52240-1608
(319) 338-5181
Mailing address
332 S LINN ST, SUITE 17, IOWA CITY, IA 52240-1608
(319) 338-5181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01439
IA
Other
Enumeration date
01/23/2006
Last updated
09/14/2009
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