GEORGE RUSSELL

BANGOR, ME
NPI1316182546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC7659)
Enumeration Date2008-12-02
Last Update Date2008-12-02
Business Address
-- GEORGE RUSSELL LCSW
77 COURT ST
BANGOR, ME 04401-4723
Phone number: 207-941-0879
Mailing Address
-- GEORGE RUSSELL LCSW
77 COURT ST
BANGOR, ME 04401-4723
Phone number: 207-941-0879
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