Individual
FRANK MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
(618) 462-7160
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149.024079
IL
Other
Enumeration date
04/09/2021
Last updated
06/08/2022
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