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Renee Lake, PH.D
NPI 1629643283 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3003 Dunes West Blvd Ste 3
Mount Pleasant, SC 29466 - Phone
- (843) 352-4060
- Organisation at this address
- Authentic Nutrition Of Charleston
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- School Psychologist
103TS0200X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-25
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 South Carolina