Individual
BRIDGET LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 SE PORT ST LUCIE BLVD STE B, PORT ST LUCIE, FL 34952-5546
(772) 207-7604
(772) 873-9997
Mailing address
2133 NW 19TH DR, STUART, FL 34994-8826
(772) 486-0085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 7563
FL
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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