JESSICA LAKE

Social Worker

Active Individual
NPI: 1043902463

Practice Address

533 BOYD ST
Whiteville, TN 38075

Phone: (731) 609-3086

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes -

Frequently Asked Questions

NPI 1043902463 is the National Provider Identifier for JESSICA LAKE, a Social Worker provider located in Whiteville, TN. This NPI was enumerated on May 24, 2023.
JESSICA LAKE practices at 533 BOYD ST, Whiteville, TN 38075.

Quick Facts

NPI
1043902463
Type
Individual
Enumerated
May 24, 2023
Last Updated
May 24, 2023

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