| NPI | 1336184720 |
|---|---|
| Former Legal Business Name | RENEE H. MATLOCK AND ASSOCIATES, P.C. |
| Entity Type | Organization |
| Authorized Contact | RENEE H. MATLOCK Executive Director 815-464-6069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146002834) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-12-23 |