Individual
MRS. AMBER OPAL LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 309-6001
Mailing address
1541 BENGAL CT, PALMDALE, CA 93551-4318
(909) 569-7215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117810
CA
Other
Enumeration date
06/01/2016
Last updated
01/14/2024
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