PETR N LOKOTKOV

SALEM, OR
NPI1548540875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  NO. 062326)
Enumeration Date2011-08-17
Last Update Date2011-08-17
Business Address
Mr. PETR N LOKOTKOV LCSW
161 HIGH ST SE STE 231
SALEM, OR 97301-3620
Phone number: 503-400-7126
Mailing Address
Mr. PETR N LOKOTKOV LCSW
5945 SAGRADA ST N
KEIZER, OR 97303-3785
Phone number: 503-400-7126