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Individual

TERRENCE LOCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCC-L-SLP

Contact information

Practice address
18015 WILLOW ST., GROSSE TETE, LA 70740
(225) 648-3433
(877) 580-7773
Mailing address
PO BOX 15403, BATON ROUGE, LA 70895-5403
(225) 205-0276
(877) 580-7773

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4929
LA

Other

Enumeration date
02/05/2009
Last updated
02/05/2009
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