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Individual

SHERI LOCKLEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1410 CALISTA DRIVE, BETHEL, AK 99559
(907) 543-6730
(907) 543-6712
Mailing address
PO BOX 528, BETHEL, AK 99559-0528

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020986
AK
Enumeration date
02/02/2021
Last updated
12/20/2021
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