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Individual

LUCI G KNOTTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
7302 HIGHWAY 613 STE D, MOSS POINT, MS 39563-9432
(228) 623-8734
(228) 460-5120
Mailing address
5210 HUCKLEBERRY LN, MOSS POINT, MS 39562-2203
(228) 623-8734

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S1068
MS

Other

Enumeration date
08/07/2013
Last updated
08/05/2019
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