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1164477220
STEPHEN FORREST RUSSELL
TAMPA, FL
NPI
1164477220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY0003453)
Enumeration Date
2006-05-24
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN FORREST RUSSELL PhD
4700 N. HABANA AVE. SUITE 300
TAMPA, FL 33614-7160
Phone number: 813-870-0392
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Mailing Address
Dr. STEPHEN FORREST RUSSELL PhD
4700 N. HABANA AVE. SUITE 300
TAMPA, FL 33614-7160
Phone number: 813-870-0392
Copy
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