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1356791040
LE'KESA FULLILOVE
JACKSON, MS
NPI
1356791040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 3755)
Enumeration Date
2016-06-14
Last Update Date
2016-06-14
Business Address
-- LE'KESA FULLILOVE PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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Mailing Address
-- LE'KESA FULLILOVE PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
Copy
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