Individual
MS. AMY LYNN LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
126 N MAIN ST, RAEFORD, NC 28376-2804
(910) 904-1189
Mailing address
14540 PEA BRIDGE RD, LAURINBURG, NC 28352-7601
(910) 280-5020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010982
NC
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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