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1154457497
ELIZABETH JANE RUSSELL
LOS ANGELES, CA
NPI
1154457497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 46659)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
-- ELIZABETH JANE RUSSELL ma
1346 N ALTA VISTA BLVD
LOS ANGELES, CA 90046-4302
Phone number: 323-436-0432
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Mailing Address
-- ELIZABETH JANE RUSSELL ma
1346 N ALTA VISTA BLVD
LOS ANGELES, CA 90046-4302
Phone number: 323-436-0432
Copy
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