Individual
MR. VINCENT DWIGHT LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
118 TERRY PKWY, TERRYTOWN, LA 70056-2523
(504) 460-8986
Mailing address
1725 N ROCHEBLAVE ST, NEW ORLEANS, LA 70119-2529
(504) 460-8986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3341
LA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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