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1013442474
KRISTEN JANE RUSSELL
DURHAM, NC
NPI
1013442474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C008396)
Enumeration Date
2017-04-24
Last Update Date
2020-03-16
Business Address
KRISTEN JANE RUSSELL LCSW
2608 ERWIN RD 300
DURHAM, NC 27705-4596
Phone number: 919-385-3232
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Mailing Address
KRISTEN JANE RUSSELL LCSW
719 BROAD ST # 300
DURHAM, NC 27705-4833
Phone number: 703-606-0232
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