Michelle Locke's National Provider Identifier (NPI) Details
Michelle Locke, LCSW
NPI: 1881350049
Enumeration Date: 2021-11-11
Last updated: 2021-11-11
Sole Proprietor: YES
Status: active
Postal Address: 26794 E MONTEREY RD, CANTON, IL
Phone: 309-645-3078
Primary Practice Address: 26794 E MONTEREY RD, CANTON, IL
Practice's phone: 309-645-3078