Individual
MRS. TRACEY M.E. LOCKREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6196
Mailing address
300 N 7TH ST, BISMARCK, ND 58501-4439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
982
ND
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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