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1194013409
JESSE GENT LUCKETT
CHARLOTTESVILLE, VA
NPI
1194013409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701005049)
Enumeration Date
2011-07-20
Last Update Date
2011-08-11
Business Address
-- JESSE GENT LUCKETT LPC
1101 PAGE STREET
CHARLOTTESVILLE, VA 22903
Phone number: 720-234-7549
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Mailing Address
-- JESSE GENT LUCKETT LPC
1101 PAGE ST
CHARLOTTESVILLE, VA 22903-2330
Phone number: 720-234-7549
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