Individual
JULIANA JOY LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 LIBRARY PL, EVANSTON, IL 60201-2908
(847) 733-4300
Mailing address
618 LIBRARY PL, EVANSTON, IL 60201-2908
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000622
IL
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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