Individual
MR. DANIEL M CARLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 STEPHENSON HWY, SUITE 250, TROY, MI 48083-1123
(248) 585-3239
(248) 616-9759
Mailing address
1089 MAPLE HEIGHTS DR, WHITE LAKE, MI 48386-1814
(586) 770-7866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6801063358
MI
Other
Enumeration date
08/24/2006
Last updated
01/27/2012
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