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Provider Information for 1659540110


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CARLA M. KLIER LCSW


Other Names:  
Former Name: 
CARLA MARIE CROOK

Sex: Female

NPI: 1659540110
Last Updated: 2008-02-28
Certification Date:

Details

NameValue
NPI1659540110
Enumeration Date2008-02-28
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1430 COLLIER ST
AUSTIN, TX 78704-2911
United States

Phone: 512-445-7787 | Fax:512-440-4059
 
Primary Practice Address 56 EAST AVE
AUSTIN, TX 78701-4323
United States

Phone: 512-454-3571 | Fax:512-703-1390
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalTX50258