Individual
MRS. AMY M LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2606 GENESEE ST, UTICA, NY 13502-6003
(315) 941-8368
Mailing address
2606 GENESEE ST, UTICA, NY 13502-6003
(315) 941-8368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
071820
NY
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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