CARLA CARLOCK-SELF

TYLER, TX
NPI1295794394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  16727)
Enumeration Date2006-03-20
Last Update Date2007-07-08
Business Address
-- CARLA CARLOCK-SELF lpc
2323 W FRONT ST
TYLER, TX 75702-7704
Phone number: 903-597-1351
Mailing Address
-- CARLA CARLOCK-SELF lpc
2323 W FRONT ST
TYLER, TX 75702-7704
Phone number: 903-597-1351
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