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1013039502
GAY RUSSELL
BLOOMINGDALE, IL
NPI
1013039502
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Former Name
GAY MCCALLUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IL 149011209)
Enumeration Date
2007-04-04
Last Update Date
2020-11-05
Business Address
MRS. GAY RUSSELL LCSW
148 S BLOOMINGDALE RD SUITE 112
BLOOMINGDALE, IL 60108
Phone number: 630-894-4451
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Mailing Address
MRS. GAY RUSSELL LCSW
904 S ROSELLE ROAD UNIT 364
SCHAUMBURG, IL 60193
Phone number: 847-340-9297
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