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1033623921
KAYLA RUSSELL
ELIZABETHTOWN, KY
NPI
1033623921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-11-30
Last Update Date
2017-11-30
Business Address
KAYLA RUSSELL CSW
529 WESTPORT ROAD
ELIZABETHTOWN, KY 42701
Phone number: 270-763-8225
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Mailing Address
KAYLA RUSSELL CSW
529 WESTPORT RD
ELIZABETHTOWN, KY 42701-2949
Phone number:
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