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1093047854
DOROTHY K RUSSELL
LOUISVILLE, KY
NPI
1093047854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY LPAT 161)
Enumeration Date
2010-02-04
Last Update Date
2015-01-05
Business Address
-- DOROTHY K RUSSELL ATR-BC
5517 BRINSON DR
LOUISVILLE, KY 40216-2729
Phone number: 502-409-3826
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Mailing Address
-- DOROTHY K RUSSELL ATR-BC
5517 BRINSON DR
LOUISVILLE, KY 40216-2729
Phone number: 502-409-3826
Copy
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