Individual
MARVIN LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBA
Contact information
Practice address
781 VIRGINIA AVE STE A, WELCH, WV 24801-2341
(304) 436-2108
(304) 436-6362
Mailing address
781 VIRGINIA AVE STE A, WELCH, WV 24801-2341
(304) 436-2108
(304) 436-6362
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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