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Individual

MR. CLYDE VANCE LOCKLEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
915 S MAIN ST STE I, LAURINBURG, NC 28352-4700
(910) 277-3212
(910) 277-3214
Mailing address
915 S MAIN ST STE I, LAURINBURG, NC 28352-4700
(910) 277-3212
(910) 277-3214

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3073
NC

Other

Enumeration date
02/15/2007
Last updated
02/27/2014
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