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1043939820
HOLLY RUSSELL
FAYETTEVILLE, NC
NPI
1043939820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 12450A)
Enumeration Date
2022-08-24
Last Update Date
2022-09-22
Business Address
HOLLY RUSSELL LMFTA
1304 AULTROY DR
FAYETTEVILLE, NC 28306-3562
Phone number: 804-814-7970
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Mailing Address
HOLLY RUSSELL LMFTA
1101 PORTER ST
RICHMOND, VA 23224-2151
Phone number: 804-814-7970
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