Individual
DANITRA LOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
1602 W PINHOOK RD, LAFAYETTE, LA 70508-3735
(337) 534-0770
Mailing address
104 CONFEDERATE AVE, BROUSSARD, LA 70518-7316
(337) 255-7279
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
18605
LA
Other
Enumeration date
08/05/2024
Last updated
10/29/2024
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