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Individual

DOREEN LOCKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
1808 ROUTE 6, CARMEL, NY 10512-2356
(845) 225-2700
(845) 225-3207
Mailing address
1808 ROUTE 6, CARMEL, NY 10512-2356
(845) 225-2700
(845) 225-3207

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8099
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8099
LICENSE
NY
Enumeration date
03/26/2008
Last updated
03/26/2008
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