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Individual

KATREASHA STUCKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
171M00000X

Contact information

Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
(601) 473-2150
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 824-1692

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/29/2022
Last updated
11/27/2023
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