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Lakitta Shuntel Black
Specialist in Olive Branch, Mississippi
NPI 1780314286

Lakitta Shuntel Black is a Specialist based in Olive Branch, MS. Lakitta Shuntel Black practices in Olive Branch, MS. The NPI Number for Lakitta Shuntel Black is 1780314286 and holds a License No. 557970 (Mississippi).

The current practice location address for Lakitta Shuntel Black is 7721 Hacks Cross Rd Ste 114, Olive Branch, MS and can be reached out via phone at 901-461-2756 and via fax at 662-796-6432.

Location: 7721 Hacks Cross Rd Ste 114, Olive Branch, MS, 38654-3909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780314286
Provider Name
Lakitta Shuntel Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
7721 Hacks Cross Rd Ste 114, Olive Branch, MS, 38654-3909
Phone Number
901-461-2756
Fax Number
662-796-6432
Provider Enumeration Date
06/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7721 Hacks Cross Rd Ste 114
City
Olive Branch
State
Mississippi
Zip
38654-3909
Phone Number
901-461-2756
Fax Number
662-796-6432
person
Provider Business Mailing Address Details
Address
7721 Hacks Cross Rd Ste 114
City
Olive Branch
State
Mississippi
Zip
38654-3909
Phone Number
901-461-2756
Fax Number
662-796-6432
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
557970 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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