LAKETA MATLOCK

NEW ALBANY, IN
NPI1285025171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-02-12
Last Update Date2015-02-12
Business Address
-- LAKETA MATLOCK M.ED
2627 CHARLESTOWN RD
NEW ALBANY, IN 47150-2536
Phone number: 812-944-1550
Mailing Address
-- LAKETA MATLOCK M.ED
2627 CHARLESTOWN RD
NEW ALBANY, IN 47150-2536
Phone number: 812-944-1550