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1285972497
RUSSELL FEDERMAN
CHARLOTTESVILLE, VA
NPI
1285972497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810002911)
Enumeration Date
2013-01-22
Last Update Date
2013-01-22
Business Address
DR. RUSSELL FEDERMAN
918 9 1/2 ST NE
CHARLOTTESVILLE, VA 22902-5311
Phone number: 434-962-7495
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Mailing Address
DR. RUSSELL FEDERMAN
918 9 1/2 ST NE
CHARLOTTESVILLE, VA 22902-5311
Phone number: 434-962-7495
Copy
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