JOHN D MATLOCK

BENTON, AR
NPI1124015078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  866C)
Enumeration Date2005-10-05
Last Update Date2007-07-08
Business Address
-- JOHN D MATLOCK LCSW
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4224
Mailing Address
-- JOHN D MATLOCK LCSW
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4224
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