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1265034334
AMY L RUSSO
FRESNO, CA
NPI
1265034334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 122974)
Enumeration Date
2020-11-12
Last Update Date
2021-01-14
Business Address
AMY L RUSSO AMFT
3636 N 1ST ST STE 135&154
FRESNO, CA 93726-6800
Phone number: 559-225-1464
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Mailing Address
AMY L RUSSO AMFT
16398 ANACONDA RD
MADERA, CA 93636-8214
Phone number: 559-975-9131
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