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1457865743
JADA MATLOCK
BASTROP, LA
NPI
1457865743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
Mrs. JADA MATLOCK
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
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Mailing Address
Mrs. JADA MATLOCK
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number:
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