Individual
JOAN ANNE MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
4652 N 31ST ST, PHOENIX, AZ 85016-5013
(623) 396-5690
Mailing address
4652 N 31ST ST, PHOENIX, AZ 85016-5013
(623) 396-5690
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT15099
AZ
Other
Enumeration date
01/28/2007
Last updated
06/09/2022
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