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1235647082
ELIZABETH BRUCE RUSSELL
PENFIELD, NY
NPI
1235647082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 077529)
Enumeration Date
2018-01-15
Last Update Date
2018-01-15
Business Address
ELIZABETH BRUCE RUSSELL
21 WILLOW POND WAY STE 204
PENFIELD, NY 14526-2687
Phone number: 585-678-5133
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Mailing Address
ELIZABETH BRUCE RUSSELL
21 WILLOW POND WAY STE 204
PENFIELD, NY 14526-2687
Phone number: 585-678-5133
Copy
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