Individual
CHONTAE MARIE LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 W BOONE AVE, SPOKANE, WA 99201-5029
(509) 325-7232
Mailing address
910 W BOONE AVE, SPOKANE, WA 99201-5029
(509) 325-7232
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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