TERRY PAT RUSSELL

CENTRALIA, WA
NPI1245804475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2021-05-13
Last Update Date2022-08-18
Business Address
TERRY PAT RUSSELL
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
Mailing Address
TERRY PAT RUSSELL
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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