Individual
MS. ABBIE K. LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(228) 331-3310
(228) 284-1608
Mailing address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(228) 331-3310
(228) 284-1608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C10172
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001254
—
MS
Enumeration date
10/04/2006
Last updated
06/01/2023
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