Lillie Matlock

NPI 1790170140 - Counselor - 101Y00000X

NPI Details
NPI 1790170140
Gender Female
Enumeration Date 04/02/2015
Last Updated 04/02/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
315 DR MARTIN LUTHER KING DR
MEMPHIS TN, 38104, US
Phone (901) 827-0571
Fax (800) 594-5717
Business Location
315 DR MARTIN LUTHER KING DR
MEMPHIS TN, 38104, US
Phone (901) 827-0571
Fax (800) 594-5717
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Lillie Matlock NPI is 1790170140, taxonomy code is 101Y00000X Lillie Matlock physically located at 315 Dr Martin Luther King Dr, Memphis TN, 38104. NPI Number Lillie Matlock has the Individual type.

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1790170140 NPI number is provided on an as is basis without warranty of any kind. 1790170140 is maintained by the National Plan & Provider Enumeration System. The contents of Lillie Matlock are for informational purposes only.