Lake, Cynthia Susan

Lake, Cynthia Susan is an sole proprietor health care provider with primary practice located at 3421 Mike Padgett Hwy , Augusta GA 30906-3815. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Lake, Cynthia Susan can be contacted via phone (706) 432-4872.

Contact Information

Primary practice address
3421 Mike Padgett Hwy Augusta GA 30906-3815

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X CSW003225 Georgia

Profile Details

NPI number 1255315842
LBN Legal business name Lake, Cynthia Susan
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Mar 27th, 2012 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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All States NPI 1255315842 NPPES
Georgia MEDICAID 000606317B

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