Individual
MISS STEFANIE ELENA LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4912 RED HILL RD, MAXTON, NC 28364-7756
(910) 720-1101
(910) 720-1083
Mailing address
4912 RED HILL RD, MAXTON, NC 28364-7756
(910) 720-1101
(910) 720-1083
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2075-14854-01
NC
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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