Individual
EMILY L LOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW #8313-123
Contact information
Practice address
420 7TH ST, RACINE, WI 53403-1222
(626) 432-3912
(262) 643-5342
Mailing address
420 7TH ST, RACINE, WI 53403-1222
(262) 643-2391
(262) 643-5342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8313-123
WI
1041C0700X
Clinical Social Worker
128272-121
WI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8313
LICENSE
WI
Enumeration date
12/18/2012
Last updated
08/05/2021
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