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1801160312
MARY LUCKETT
JACKSON, MS
NPI
1801160312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS CH0660)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
-- MARY LUCKETT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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Mailing Address
-- MARY LUCKETT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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