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1194861666
ROBERT DAVID RUSSELL
DOUGLASVILLE, GA
NPI
1194861666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: GA LPC004424)
Enumeration Date
2007-01-30
Last Update Date
2007-07-09
Business Address
MR. ROBERT DAVID RUSSELL LPC
6488 SPRING ST SUITE 201
DOUGLASVILLE, GA 30134-1895
Phone number: 770-949-1595
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Mailing Address
MR. ROBERT DAVID RUSSELL LPC
80 THORNBUSH CT
HIRAM, GA 30141-5442
Phone number: 770-439-6926
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