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1316998628
LESLIE RUSSELL
PEABODY, MA
NPI
1316998628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 113113)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Mrs. LESLIE RUSSELL LICSW
3 ESSEX GREEN DR SUITE ONE
PEABODY, MA 01960-2913
Phone number: 978-979-5371
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Mailing Address
Mrs. LESLIE RUSSELL LICSW
16 MEMORIAL DR
SALEM, MA 01970-5262
Phone number: 978-979-5371
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