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1598178972
COLLEEN MATLOCK
BRISTOW, OK
NPI
1598178972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-06-03
Last Update Date
2019-06-04
Business Address
COLLEEN MATLOCK LPC Candidate
123 W 6TH AVE
BRISTOW, OK 74010-2801
Phone number: 918-510-7412
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Mailing Address
COLLEEN MATLOCK LPC Candidate
123 W 6TH AVE
BRISTOW, OK 74010-2801
Phone number: 918-510-7412
Copy
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