Individual
ANGELA RENA LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 HARRIS AVE, RAEFORD, NC 28376-3112
(910) 875-5590
Mailing address
8650 ARABIA RD, LUMBER BRIDGE, NC 28357-9603
(910) 257-5005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013854
NC
Other
Enumeration date
09/20/2019
Last updated
11/22/2021
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