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1235745316
AMANDA LEIGH RUSSELL
MEMPHIS, TN
NPI
1235745316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 3202)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
AMANDA LEIGH RUSSELL LPC-MHSP
2180 UNION AVE
MEMPHIS, TN 38104-4205
Phone number: 901-276-2200
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Mailing Address
AMANDA LEIGH RUSSELL LPC-MHSP
4561 AMBOY RD
MEMPHIS, TN 38117-6101
Phone number: 901-335-9782
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