CARLA CARLOCK-SELF

TYLER, TX
NPI1295794394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
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