PAMELA INGRAM LUCKETT

MONROE, MI
NPI1699912675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  12141876)
Enumeration Date2009-01-14
Last Update Date2009-01-14
Business Address
-- PAMELA INGRAM LUCKETT S.T.
610 W ELM AVE
MONROE, MI 48162-7909
Phone number: 734-240-9670
Mailing Address
-- PAMELA INGRAM LUCKETT S.T.
610 W ELM AVE
MONROE, MI 48162-7909
Phone number: 734-240-9670
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