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Alexy Lake, CSW

NPI 1881109981 · on the registry since 2017 · sole proprietor

Practice

Address
1840 Lantaff Blvd Ste 100
Madisonville, KY 42431
Phone
(270) 601-4235
Fax
(270) 350-4673
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-16

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 Kentucky