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1033168927
SARA ANNE RUSSELL
MESA, AZ
NPI
1033168927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ 11159)
Enumeration Date
2006-05-08
Last Update Date
2007-07-08
Business Address
-- SARA ANNE RUSSELL LPC
5520 E MAIN ST
MESA, AZ 85205-8793
Phone number: 480-969-2783
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Mailing Address
-- SARA ANNE RUSSELL LPC
9156 E AVENIDA LAS NOCHES
GOLD CANYON, AZ 85218-4675
Phone number: 480-983-9350
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