Individual
CODY LEE LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
753 S MAIN ST, RAEFORD, NC 28376-3238
(910) 490-2037
(910) 479-1711
Mailing address
45 CARLA RD, ROWLAND, NC 28383-8065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P021240
NC
Other
Enumeration date
05/31/2023
Last updated
01/06/2025
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