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1023624384
SHANNON ELIZABETH MATLOCK
COLORADO SPRINGS, CO
NPI
1023624384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 0017231)
Enumeration Date
2020-09-21
Last Update Date
2024-10-02
Business Address
SHANNON ELIZABETH MATLOCK LPC
5245 CENTENNIAL BLVD STE 205
COLORADO SPRINGS, CO 80919-4405
Phone number: 719-888-3738
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Mailing Address
SHANNON ELIZABETH MATLOCK LPC
4025 DARBY CIR E
COLORADO SPRINGS, CO 80907-3936
Phone number: 417-437-1915
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