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1023769130
TARA MATLOCK
OKLAHOMA CITY, OK
NPI
1023769130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 10454)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
Mrs. TARA MATLOCK LPC
13929 TECHNOLOGY DR
OKLAHOMA CITY, OK 73134-1053
Phone number: 405-496-1511
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Mailing Address
Mrs. TARA MATLOCK LPC
13929 TECHNOLOGY DR STE A
OKLAHOMA CITY, OK 73134-1053
Phone number:
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