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1245468719
EMILY D RUSS
TUCKER, GA
NPI
1245468719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA csw002677)
Enumeration Date
2009-06-23
Last Update Date
2010-11-29
Business Address
-- EMILY D RUSS LCSW
3912 CEDAR CIR
TUCKER, GA 30084-7339
Phone number: 770-414-9742
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Mailing Address
-- EMILY D RUSS LCSW
3912 CEDAR CIR
TUCKER, GA 30084-7339
Phone number: 770-414-9742
Copy
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