Individual
TRACY LEAH LOCKREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(701) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
ND
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
12/22/2021
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