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1073013900
JESSICA RUSSELL
TARZANA, CA
NPI
1073013900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 76865)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
JESSICA RUSSELL MSW and ACSW
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-997-1051
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Mailing Address
JESSICA RUSSELL MSW and ACSW
13378 BERG ST
SYLMAR, CA 91342-2441
Phone number:
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