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1235319880
JESSE RICHARDS RUSSELL
BRUNSWICK, ME
NPI
1235319880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC 5397)
Enumeration Date
2007-11-13
Last Update Date
2008-01-14
Business Address
Mr. JESSE RICHARDS RUSSELL L.C.S.W.
10 CUMBERLAND ST
BRUNSWICK, ME 04011-1932
Phone number: 207-725-5020
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Mailing Address
Mr. JESSE RICHARDS RUSSELL L.C.S.W.
106 MAQUOIT DR
FREEPORT, ME 04032-6320
Phone number: 207-725-5020
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