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Individual

DAKOTA LOCKLEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2919 BREEZEWOOD AVE STE 202, FAYETTEVILLE, NC 28303-5283
(910) 263-8986
Mailing address
2919 BREEZEWOOD AVE STE 202, FAYETTEVILLE, NC 28303-5283

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/24/2025
Last updated
01/24/2025
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