TARA BLUE LOCKLEAR

LUMBERTON, NC
NPI1275024911
Former NameTARA JO BLUE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  PO16917)
Enumeration Date2018-05-29
Last Update Date2021-11-10
Business Address
Mrs. TARA BLUE LOCKLEAR LCSW-A
2003 GODWIN AVENUE SUITE A
LUMBERTON, NC 28358-3149
Phone number: 910-739-8849
Mailing Address
Mrs. TARA BLUE LOCKLEAR LCSW-A
2003 GODWIN AVENUE SUITE A
LUMBERTON, NC 28358-3149
Phone number: 910-739-8849
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