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Charlene Carlock, PHD

NPI 1902904295 · on the registry since 2006

Practice

Address
1105 Watervliet Ave
Dayton, OH 45420
Phone
(937) 256-0500
Fax
(937) 256-2136
Organisation at this address
C Jesse Carlock Ph D & Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio