| NPI | 1174079214 |
|---|---|
| Professional Name | JEFFREY M LOCKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59344) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007608A) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-01-30 |