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1083084834
ALEXIS RAY RUSSELL
GONZALES, LA
NPI
1083084834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101YS0200X Counselor, School
Enumeration Date
2015-10-05
Last Update Date
2022-09-30
Business Address
ALEXIS RAY RUSSELL
14430 CARIBBEAN DR
GONZALES, LA 70737-7086
Phone number: 225-993-6861
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Mailing Address
ALEXIS RAY RUSSELL
14430 CARIBBEAN DR
GONZALES, LA 70737-7086
Phone number: 225-993-6861
Copy
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