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1205354396
THOMAS RUSSELL
SANDY SPRINGS, GA
NPI
1205354396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 672)
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
THOMAS RUSSELL
8800 ROSWELL RD STE A135
SANDY SPRINGS, GA 30350-1826
Phone number: 404-682-1923
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Mailing Address
THOMAS RUSSELL
1000 JEFFERSON ST STE 2C
LYNCHBURG, VA 24504-1724
Phone number:
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