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1285025171
LAKETA MATLOCK
NEW ALBANY, IN
NPI
1285025171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-12
Last Update Date
2015-02-12
Business Address
-- LAKETA MATLOCK M.ED
2627 CHARLESTOWN RD
NEW ALBANY, IN 47150-2536
Phone number: 812-944-1550
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Mailing Address
-- LAKETA MATLOCK M.ED
2627 CHARLESTOWN RD
NEW ALBANY, IN 47150-2536
Phone number: 812-944-1550
Copy
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