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1285184739
LEAH RUSSELL
MADISON, MS
NPI
1285184739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S3839)
Enumeration Date
2016-10-08
Last Update Date
2016-10-08
Business Address
-- LEAH RUSSELL CCC-SLP
161 FIELDSTONE LN
MADISON, MS 39110-5046
Phone number: 225-405-3907
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Mailing Address
-- LEAH RUSSELL CCC-SLP
161 FIELDSTONE LN
MADISON, MS 39110-5046
Phone number:
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