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1003942962
NANCY RAE RUSSELL
ST PETERSBURG, FL
NPI
1003942962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW6791)
Enumeration Date
2007-02-26
Last Update Date
2012-02-22
Business Address
-- NANCY RAE RUSSELL LCSW
6737 1ST AVE S
ST PETERSBURG, FL 33707-1307
Phone number: 727-341-1000
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Mailing Address
-- NANCY RAE RUSSELL LCSW
6739 1ST AVE S
ST PETERSBURG, FL 33707-1307
Phone number: 727-341-1000
Copy
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