Individual
JOSLYN LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22436 IMPERIAL DR, RICHTON PARK, IL 60471-1509
(708) 595-7897
Mailing address
22436 IMPERIAL DR, RICHTON PARK, IL 60471-1509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6590028
—
IL
Enumeration date
04/30/2020
Last updated
04/30/2020
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