TYLER ANDREW MATLOCK

FAIRBANKS, AK
NPI1033465307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-07-24
Last Update Date2012-07-24
Business Address
MR. TYLER ANDREW MATLOCK
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-5304
Mailing Address
MR. TYLER ANDREW MATLOCK
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-5304