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Individual

ELLEN LOCKHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1976 GADSDEN HIGHWAY, SUITE 150, TRUSSVILLE, AL 35173
(205) 635-5373
Mailing address
1976 GADSDEN HIGHWAY, SUITE 150, TRUSSVILLE, AL 35173

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/11/2022
Last updated
10/11/2022
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