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1376116608
OLIVIA RUSSAK
LONG BEACH, CA
NPI
1376116608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT126892)
Enumeration Date
2021-07-23
Last Update Date
2021-07-27
Business Address
OLIVIA RUSSAK AMFT
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number: 562-335-2117
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Mailing Address
OLIVIA RUSSAK AMFT
1301 PINE AVE
LONG BEACH, CA 90813-3124
Phone number: 562-335-2117
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