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Individual

MR. DANIEL LOUIS LOCKAMY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
284 TATUM RD, BENNETTSVILLE, SC 29512
(843) 523-5163
Mailing address
284 TATUM RD, TATUM, SC 29594
(843) 523-5163

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8702
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46-3812188
SC
Enumeration date
10/10/2013
Last updated
10/10/2013
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