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Mattie Louise Locke
Psychiatric/Mental Health Clinical Nurse Specialist in Rusk, Texas
NPI 1114396397

Mattie Louise Locke is a Psychiatric/Mental Health Clinical Nurse Specialist based in Rusk, TX and is specialized in Psychiatric/Mental Health. Mattie Louise Locke practices in Rusk, TX. The NPI Number for Mattie Louise Locke is 1114396397 and holds a License No. 218376 (Texas).

The current practice location address for Mattie Louise Locke is 379 Fm 2972 W, Rusk, TX and can be reached out via phone at 903-683-5781.

Location: 379 Fm 2972 W, Rusk, TX, 75785-3666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114396397
Provider Name
Mattie Louise Locke
Credential
Provider Entity Type
Individual
Gender
Female
Address
379 Fm 2972 W, Rusk, TX, 75785-3666
Phone Number
903-683-5781
Fax Number
Provider Enumeration Date
09/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
379 Fm 2972 W
City
Rusk
State
Texas
Zip
75785-3666
Phone Number
903-683-5781
Fax Number
person
Provider Business Mailing Address Details
Address
379 Fm 2972 W
City
Rusk
State
Texas
Zip
75785-3666
Phone Number
903-683-5781
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
364SP0808X
License No.
218376 (Texas)
Definition
Definition to come...
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