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Individual
SARA J LOCKE
Active
Individual
SARA J LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002024128
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495970212
—
MO
Enumeration date
12/28/2006
Last updated
10/08/2012
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