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1215016407
CRYSTAL MICHE RUSSELL
COLUMBIA, SC
NPI
1215016407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 4739)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Ms. CRYSTAL MICHE RUSSELL LPC
1107 CLOISTER PLACE
COLUMBIA, SC 29210
Phone number: 803-216-0370
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Mailing Address
Ms. CRYSTAL MICHE RUSSELL LPC
1107 CLOISTER PLACE
COLUMBIA, SC 29210
Phone number: 803-216-0370
Copy
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