Individual
LARICKA MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-1692
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
RBT-19-101259
GA
Other
Enumeration date
04/14/2020
Last updated
08/02/2022
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