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General NPI Number Information
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NPI Number | 1386049468
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Entity Type | Individual
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Provider Name | CAROLINE LOCKE LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 756 PURPLE SAGE RD
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City | BANDERA
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State | TX
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Zip | 78003-3981
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Country | US
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Telephone | 830-225-1622
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Fax |
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Provider Business Mailing Address
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Address Line | 13502 WAKEWOOD ST
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City | SAN ANTONIO
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State | TX
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Zip | 78233-4976
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Country | US
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Telephone | 850-287-9183
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 12099
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 107419
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License Number State | TX
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