Individual
MRS. ASHTON RAE LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5301 E STATE ST STE 309A, ROCKFORD, IL 61108-2399
(608) 713-3454
Mailing address
1907 JONATHAN AVE, ROCKFORD, IL 61103-2908
(815) 621-3853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022564
IL
Other
Enumeration date
02/04/2021
Last updated
07/05/2023
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