Search › Michigan › 104100000X
Stephanie Lake, LMSW
NPI 1871008367 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3501 Harding St
Dearborn, MI 48124 - Phone
- (313) 608-5544
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-14
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 Michigan