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Ronald Lake, MSW LICSW
NPI 1487959698 · on the registry since 2011 · sole proprietor
Practice
- Address
- 215 N 1st Ave E
Duluth, MN 55802 - Phone
- (218) 590-1894
- Organisation at this address
- Duluth Isd 709
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota