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Individual

MS. TRIBIA FRYE LOCKHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
619 3RD ST NW, MAGEE, MS 39111-3903
(601) 695-0151
Mailing address
619 3RD ST NW APT 4C, MAGEE, MS 39111-3903
(601) 695-0151

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6802
MS

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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