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1124177878
JANICE L. MATLOCK
GLEN ELLYN, IL
NPI
1124177878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166.000683)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. JANICE L. MATLOCK MFT
45 S PARK BLVD STE 255
GLEN ELLYN, IL 60137-6280
Phone number: 630-942-8803
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Mailing Address
Dr. JANICE L. MATLOCK MFT
545 S FULMER ST
NAUVOO, IL 62354-1307
Phone number: 217-453-6783
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