Mattie Louise Locke
Clinical Nurse Specialist, Psych/Mental Health in Rusk, TX. Individual provider (NPI-1).
NPI number1114396397
StatusActive
Last updated in NPPESSep 17, 2015
Details
- NPI
- 1114396397
- Entity type
- Individual (NPI-1)
- Name
- Mattie Louise Locke
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2015
- Last updated
- Sep 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | 218376 | TX | Yes |
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | 106908 | TX |
Practice location
379 Fm 2972 WRusk, TX 75785-3666
Phone 903-683-5781
Mailing address
379 Fm 2972 WRusk, TX 75785-3666
Phone 903-683-5781
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