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1083143721
COLLEEN MATLOCK
SAINT LOUIS, MO
NPI
1083143721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2013042521)
Enumeration Date
2017-06-07
Last Update Date
2017-06-07
Business Address
COLLEEN MATLOCK MA LPC
10845 OLIVE BLVD
SAINT LOUIS, MO 63141-7760
Phone number: 314-561-6757
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Mailing Address
COLLEEN MATLOCK MA LPC
7011 SUTHERLAND AVE
SAINT LOUIS, MO 63109-1919
Phone number: 314-807-7354
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