Provider Information for 1316272834
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Ms. LAVERA G MCCASKILL LCSW
Sex: Female
NPI: 1316272834
Last Updated: 2022-12-22
Certification Date: 2021-05-11
Certification Date: 2021-05-11
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1316272834 | ||||||||||||||||||||
| Enumeration Date | 2009-10-16 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 9049 WILLIAM PAUL DR OLIVE BRANCH, MS 38654-6430 United States Phone: 662-812-1288 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 1030 JEFFERSON AVE MEMPHIS, TN 38104-2127 United States Phone: 901-523-8990 | Fax: | ||||||||||||||||||||
| Secondary Practice Address(es) | 1742 CHERYL ST 557 GRANTS FERRY RD | ||||||||||||||||||||
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