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1821738055
KATREASHA STUCKEY
CLINTON, MS
NPI
1821738055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-29
Last Update Date
2023-11-27
Business Address
KATREASHA STUCKEY 171M00000X
604 HIGHWAY 80 W STE R
CLINTON, MS 39056-4108
Phone number: 601-473-2106
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Mailing Address
KATREASHA STUCKEY 171M00000X
PO BOX 88
BRANDON, MS 39043-0088
Phone number: 601-824-1692
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