HALEY CARLOCK

ST LOUIS PARK, MN
NPI1013364199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  CNP 4630)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MN  R 197063-4)
Enumeration Date2016-05-19
Last Update Date2017-04-26
Business Address
-- HALEY CARLOCK DNP, PMHNP-BC
1155 FORD RD SUITE B
ST LOUIS PARK, MN 55426-1099
Phone number: 952-378-1800
Mailing Address
-- HALEY CARLOCK DNP, PMHNP-BC
3100 W LAKE ST SUITE 210
MINNEAPOLIS, MN 55416-4527
Phone number: 612-925-6033