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Individual

SENITRA LUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.MSC.

Contact information

Practice address
813 GLENCOVE LN, GRETNA, LA 70056-5237
(504) 864-9743
Mailing address
813 GLENCOVE LN, GRETNA, LA 70056-5237
(504) 864-9743

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
374K00000X
Religious Nonmedical Practitioner
Primary

Other

Enumeration date
10/13/2022
Last updated
11/16/2022
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