Individual
JOHN D MATLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 315-4224
(501) 776-0411
Mailing address
307 E SEVIER ST, BENTON, AR 72015-3934
(501) 315-4224
(501) 776-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
866C
AR
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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