Individual
JULIANNE NICOLE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 WASHINGTON AVE, GULFPORT, MS 39507-3127
(228) 669-7326
Mailing address
3903 WASHINGTON AVE, GULFPORT, MS 39507-3127
(228) 669-7326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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