Individual
CARROLL WILCOX LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2740 NW 17TH ST, FORT LAUDERDALE, FL 33311-4402
(954) 793-0148
(954) 301-0645
Mailing address
2740 NW 17TH ST, FORT LAUDERDALE, FL 33311-4402
(954) 793-0148
(954) 301-0645
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA 7325
FL
Other
Enumeration date
12/13/2006
Last updated
01/10/2024
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