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1093104671
TAMMY RUSSELL
ST PETERSBURG, FL
NPI
1093104671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH15531)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-01-20
Last Update Date
2018-10-24
Business Address
TAMMY RUSSELL LMHC
3461 BURLINGTON AVE N
ST PETERSBURG, FL 33713-8548
Phone number: 727-328-4006
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Mailing Address
TAMMY RUSSELL LMHC
3461 BURLINGTON AVE N
ST PETERSBURG, FL 33713-8548
Phone number: 727-328-4006
Copy
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