Individual
MR. WILLIAM ROBERT LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED. L. M. F. T.
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0278
MS
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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