Individual
STACEY LYNN CARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5617 86TH ST, LUBBOCK, TX 79424-4621
(806) 239-5513
Mailing address
5617 86TH ST, LUBBOCK, TX 79424-4621
(806) 239-5513
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25293
TX
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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