Individual
AMY LEIGH LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-9933
(580) 371-9944
Mailing address
1210 W. RAY BRANUM RD, TISHOMINGO, OK 73460
(580) 656-7547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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