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1124015078
JOHN D MATLOCK
BENTON, AR
NPI
1124015078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 866C)
Enumeration Date
2005-10-05
Last Update Date
2007-07-08
Business Address
-- JOHN D MATLOCK LCSW
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4224
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Mailing Address
-- JOHN D MATLOCK LCSW
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4224
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