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Individual

CAMI R. LOKKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
445 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
(812) 353-3450
(812) 353-3451
Mailing address
445 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
(812) 353-3450
(812) 353-3451

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041123A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200141710
IN
Enumeration date
03/04/2006
Last updated
01/05/2015
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