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1013362060
WENDY RUSSELL
VENICE, FL
NPI
1013362060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH11747)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
-- WENDY RUSSELL
405 COMMERCIAL CT STE E
VENICE, FL 34292-1653
Phone number: 941-375-4321
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Mailing Address
-- WENDY RUSSELL
8461 EAGLE PRESERVE WAY
SARASOTA, FL 34241-9449
Phone number: 941-356-8340
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