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Individual

MS. CYNTHIA A LOCK SR.

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
32743 23 MILE RD, CHESTERFIELD, MI 48047-1985
(586) 716-0980
(586) 716-0985
Mailing address
20290 DRUMMOND BAY, CLINTON TOWNSHIP, MI 48038-1467
(586) 823-0339

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801061796
MI

Other

Enumeration date
05/19/2006
Last updated
07/08/2007
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