Individual
FAHLENE LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2075 NW GRANT AVE, CORVALLIS, OR 97330-4366
(541) 368-3152
(855) 279-0612
Mailing address
780 HYACINTH ST, INDEPENDENCE, OR 97351-9556
(503) 851-1048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8296
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/23/2007
Last updated
05/28/2020
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