Individual
DADRA LOCKRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 WEST ST, RACINE, WI 53404-3020
(262) 417-7349
Mailing address
1602 WEST ST, RACINE, WI 53404-3020
(262) 417-7349
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
WI
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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