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1093473159
OLIVIA SHEA RUSSELL
DALLAS, TX
NPI
1093473159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 119148)
Enumeration Date
2021-12-06
Last Update Date
2021-12-06
Business Address
OLIVIA SHEA RUSSELL M.S., CF-SLP
14651 DALLAS PKWY STE 200
DALLAS, TX 75254-8856
Phone number: 866-919-3240
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Mailing Address
OLIVIA SHEA RUSSELL M.S., CF-SLP
11721 RED OAK VALLEY LN
AUSTIN, TX 78732-2406
Phone number: 512-569-0388
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