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1194283887
SHAQUITA A MALLETT
JACKSON, MS
NPI
1194283887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7864)
Enumeration Date
2019-03-12
Last Update Date
2021-04-11
Business Address
Mrs. SHAQUITA A MALLETT LCSW
4624 NISQUALLY RD
JACKSON, MS 39206-3342
Phone number: 662-307-0381
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Mailing Address
Mrs. SHAQUITA A MALLETT LCSW
119 HAWTHORNE VALE
RIDGELAND, MS 39157-2345
Phone number: 662-307-0381
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