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1811600695
FREDERICKA LUCKETT
JACKSON, MS
NPI
1811600695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-27
Last Update Date
2022-12-27
Business Address
FREDERICKA LUCKETT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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Mailing Address
FREDERICKA LUCKETT
120 OLD HIGHWAY 16
CANTON, MS 39046-8788
Phone number: 601-259-1738
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