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Individual

DEBORAH J LOCKETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
4737 COUNTY ROAD 101 # 175, MINNETONKA, MN 55345-2634
(952) 208-6700
(952) 208-6343
Mailing address
4737 COUNTY ROAD 101 # 175, MINNETONKA, MN 55345-2634
(952) 208-6700
(952) 208-6343

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19841
MN

Other

Enumeration date
01/14/2019
Last updated
10/17/2022
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