Individual
MS. DAWN M. CARLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
514 S 4TH ST, PHILADELPHIA, PA 19147-1507
(215) 983-5970
(215) 922-2715
Mailing address
20 EVERGREEN LN, HADDONFIELD, NJ 08033-1202
(215) 983-5970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015461
PA
Other
Enumeration date
11/13/2006
Last updated
02/23/2010
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