DANIELLE DESSA MATLOCK

CORBIN, KY
NPI1104233709
Former NameDANIELLE DESSA STANSBERRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  253257)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-07-15
Last Update Date2018-05-03
Business Address
DANIELLE DESSA MATLOCK LCSW
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
DANIELLE DESSA MATLOCK LCSW
PO BOX 568
CORBIN, KY 40702-0568
Phone number: