Individual
JAMIE NICOLE MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
950 FRANCIS PL STE 115, CLAYTON, MO 63105-2465
(314) 916-9014
Mailing address
950 FRANCIS PL STE 115, CLAYTON, MO 63105-2465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013027661
MO
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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