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1790170140
LILLIE MATLOCK
MEMPHIS, TN
NPI
1790170140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-04-02
Last Update Date
2015-04-02
Business Address
-- LILLIE MATLOCK
315 DR MARTIN LUTHER KING DR
MEMPHIS, TN 38104
Phone number: 901-827-0571
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Mailing Address
-- LILLIE MATLOCK
315 DR MARTIN LUTHER KING DR
MEMPHIS, TN 38104
Phone number: 901-827-0571
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