Individual
MR. ALTON R LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1329 ROBESON ST, FAYETTEVILLE, NC 28305-5531
(910) 438-0939
(910) 438-0942
Mailing address
13097 US HIGHWAY 301 N, SAINT PAULS, NC 28384-6934
(910) 273-5242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001849
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106228
—
NC
Enumeration date
04/13/2007
Last updated
07/08/2007
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