Individual
ASHLEIGH E. LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 324-1500
(207) 490-5263
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
(207) 661-2018
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17880
ME
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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