MICHAEL H LAKE
Mental Health at Gardener Rd, Viera, FL

License number
Florida 3867
Issued Date
Jun 24, 2002
Effective Date
Dec 17, 2004
Expiration Date
Mar 31, 2005
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address
803 Gardener Rd, Viera, FL 32955
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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