Individual
MR. CHRISTOPHER W MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 525-0452
Mailing address
1805 E LINDSEY ST APT 4, NORMAN, OK 73071-1837
(405) 408-0946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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