Individual
KATELYN HARLANDER-LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(480) 710-0769
(480) 710-0769
Mailing address
4870 DEER LAKE DR E STE 1413, JACKSONVILLE, FL 32246-6307
(480) 710-0769
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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