Individual
MS. CARLA JEAN MOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1635 NE LOOP 410, S 501, SAN ANTONIO, TX 78209-1625
(210) 601-9888
(210) 821-6121
Mailing address
526 INDIGO ST, SAN ANTONIO, TX 78216-3402
(210) 410-8153
(210) 821-6121
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11752
TX
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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