Individual
DANIEL C LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 KOALA AVE, OMAK, WA 98841-9247
(509) 826-6191
Mailing address
839 MONROE ST, OKANOGAN, WA 98840-9662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00024557
WA
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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