Individual
MRS. LORI ANN LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
110 S GARFIELD AVE, PORT WASHINGTON, WI 53074-2022
(262) 357-1079
Mailing address
110 S GARFIELD AVE, PORT WASHINGTON, WI 53074-2022
(262) 357-1079
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
97-038
WI
Other
Enumeration date
04/06/2011
Last updated
04/23/2020
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