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1225022148
RUSSELL VERNON PEARSON
APACHE JUNCTION, AZ
NPI
1225022148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-4155)
Enumeration Date
2005-09-07
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL VERNON PEARSON MSW
288 N IRONWOOD DR
APACHE JUNCTION, AZ 85220-3830
Phone number: 480-982-2356
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Mailing Address
Mr. RUSSELL VERNON PEARSON MSW
3717 E SHAPINSAY DR
QUEEN CREEK, AZ 85242-5038
Phone number: 480-987-9460
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