Individual
MRS. BRIENNE N LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1002 S RACE ST, URBANA, IL 61801-4957
(217) 239-4220
Mailing address
1013 HOLLYCREST DR, CHAMPAIGN, IL 61821-4205
(217) 390-8847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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