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Individual

PENNY JANE LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1101 DELL DRIVE, CLINTON, OK 73601
(580) 309-2127
Mailing address
PO BOX 444, CLINTON, OK 73601
(580) 309-2127

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
OK

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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