Individual
DONNA S. LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1245 N RIVERSIDE AVE, SUITE 20, MEDFORD, OR 97501-4655
(541) 301-2972
(541) 857-1204
Mailing address
235 MEADOW DR, SUITE 20, ASHLAND, OR 97520-3764
(541) 301-2972
(541) 488-0018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2973
OR
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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