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1174989065
RUSSELL HOLLIS
MONROE, LA
NPI
1174989065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 4872)
Enumeration Date
2016-01-07
Last Update Date
2016-01-07
Business Address
-- RUSSELL HOLLIS M.Ed., LPC
4951 CENTRAL AVE
MONROE, LA 71203-6156
Phone number: 318-340-1535
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Mailing Address
-- RUSSELL HOLLIS M.Ed., LPC
117 GARDEN PARK DR
MONROE, LA 71202-5121
Phone number: 318-600-2006
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