Individual
ANNIE NICOLE LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1807 E CHURCH STREET EXT, MARTINSVILLE, VA 24112-3143
(276) 285-0151
Mailing address
8401 MAYLAND DR STE S, RICHMOND, VA 23294-4648
(276) 285-0151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012547
VA
1041C0700X
Clinical Social Worker
125361
MA
1041C0700X
Clinical Social Worker
C014220
NC
Other
Enumeration date
10/05/2021
Last updated
07/15/2024
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