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1366858557
SHANNON REBECCA RUSSELL
COVINGTON, KY
NPI
1366858557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-07-08
Last Update Date
2019-10-08
Business Address
Mrs. SHANNON REBECCA RUSSELL LCSW
434 SCOTT BLVD LIFE POINT SOLUTIONS
COVINGTON, KY 41011
Phone number: 859-547-5777
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Mailing Address
Mrs. SHANNON REBECCA RUSSELL LCSW
434 SCOTT BLVD LIFE POINT SOLUTIONS
COVINGTON, KY 41011
Phone number: 859-240-0714
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