Individual
JULIE LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N KICKAPOO AVE, SHAWNEE, OK 74801-4845
(405) 214-0116
Mailing address
7519 NBU, PRAGUE, OK 74864-2500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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