Individual
DR. SANDY ROSINA LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4113 PUTTER PL, MUSKOGEE, OK 74403-1744
(918) 681-0490
Mailing address
4113 PUTTER PL, MUSKOGEE, OK 74403-1744
(918) 681-0490
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
865
OK
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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