Individual
MADELINE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3700 W KILGORE AVE, MUNCIE, IN 47304-4810
(217) 620-1889
Mailing address
9726 AMBLESIDE DR, FISHERS, IN 46038-9617
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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