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1043691785
KATHERINE RUSSELL
LITTLE ROCK, AR
NPI
1043691785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
KATHERINE RUSSELL MHPP
20400 COL GLENN RD
LITTLE ROCK, AR 72210
Phone number: 501-821-5500
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Mailing Address
KATHERINE RUSSELL MHPP
20400 COL ROAD
LITTLE ROCK, AR 72210
Phone number: 501-821-5500
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