TIFFANY MATLOCK

OMAHA, NE
NPI1720408750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  9833)
Enumeration Date2014-04-17
Last Update Date2014-04-17
Business Address
-- TIFFANY MATLOCK PLMHP
8506 N 83RD AVE
OMAHA, NE 68122-4013
Phone number: 402-213-4603
Mailing Address
-- TIFFANY MATLOCK PLMHP
8506 N 83RD AVE
OMAHA, NE 68122-4013
Phone number: 402-213-4603
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