Individual
MRS. TRACY LYNN LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
305 E 3RD ST, PEMBROKE, NC 28372-7991
(910) 521-7461
Mailing address
413 CABINET SHOP RD, MAXTON, NC 28364-8970
(910) 785-5469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A11843
NC
Other
Enumeration date
12/07/2015
Last updated
03/30/2018
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