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1134305451
LINDA LOUISE MATLOCK
SACRAMENTO, CA
NPI
1134305451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-01-16
Last Update Date
2008-01-16
Business Address
Mrs. LINDA LOUISE MATLOCK
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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Mailing Address
Mrs. LINDA LOUISE MATLOCK
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Copy
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