Individual
STEPHANIE LOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 SAINT JOHN ST, MONTICELLO, NY 12701-2118
(845) 794-4020
(845) 794-4029
Mailing address
30 BRANDYWINE XING, NEWBURGH, NY 12550-8767
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
680824121
NY
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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