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Individual

TONYA NICHOLE LOCKLEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2003 GODWIN AVE STE C, LUMBERTON, NC 28358-3150
(866) 272-7826
Mailing address
PO BOX 3582, PEMBROKE, NC 28372-3582
(910) 506-6442

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/23/2021
Last updated
04/23/2021
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