LAINE RUSSELL

O FALLON, IL
NPI1215891106
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-12-15
Last Update Date2025-12-15
Business Address
LAINE RUSSELL
1716 CORPORATE XING STE 3
O FALLON, IL 62269-3734
Phone number: 618-226-4687
Mailing Address
LAINE RUSSELL
1716 CORPORATE XING STE 3
O FALLON, IL 62269-3734
Phone number:
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