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1396377917
LAURA RENAY RUSSELL
SOUTH JORDAN, UT
NPI
1396377917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 10322316-6004)
Enumeration Date
2020-02-11
Last Update Date
2023-08-14
Business Address
Mrs. LAURA RENAY RUSSELL CMHC
5414 DAYBREAK PKWY C-4 #123
SOUTH JORDAN, UT 84009
Phone number: 385-355-0830
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Mailing Address
Mrs. LAURA RENAY RUSSELL CMHC
5414 DAYBREAK PKWY C-4 #123
SOUTH JORDAN, UT 84009
Phone number: 385-355-0830
Copy
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