Individual
MRS. PAMELA GRAEF LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CEDAR PINE LN, MADISON, MS 39110-8868
(601) 214-8160
(601) 856-6356
Mailing address
109 CEDAR PINE LN, MADISON, MS 39110-8868
(601) 214-8160
(601) 856-6356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0588
MS
Other
Enumeration date
02/05/2021
Last updated
01/08/2025
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