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1043586860
SHELLY RUSSELL
AUSTIN, TX
NPI
1043586860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 21305)
Enumeration Date
2012-03-26
Last Update Date
2012-03-26
Business Address
Mrs. SHELLY RUSSELL LCSW
5013 WESTVIEW DR
AUSTIN, TX 78731-4741
Phone number: 512-422-4389
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Mailing Address
Mrs. SHELLY RUSSELL LCSW
5013 WESTVIEW DR
AUSTIN, TX 78731-4741
Phone number: 512-422-4389
Copy
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