Individual
MRS. KAREN MARIE MEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10100 FM 1130, ORANGE, TX 77632-1081
(409) 779-2279
(409) 330-4362
Mailing address
10100 FM 1130, ORANGE, TX 77632-1081
(409) 779-2279
(409) 330-4362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11221
LA
104100000X
Social Worker
Primary
52974
TX
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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