Individual
DANELLE LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E 3RD ST, PEMBROKE, NC 28372-7991
(910) 521-7461
Mailing address
5315 OXENDINE SCHOOL RD, MAXTON, NC 28364-7017
(910) 843-1877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P012206
NC
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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