Individual
MR. DARRELL DEWAYNE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1244
Mailing address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1244
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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