Individual
MARCIE MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4530 ARENDELL PL, COLUMBUS, OH 43231-8711
(614) 300-7917
Mailing address
4530 ARENDELL PL, COLUMBUS, OH 43231-8711
(614) 300-7917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33.020950
OH
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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