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1396473955
ABIGAIL RUSSELL
GREEN BAY, WI
NPI
1396473955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 132852-121)
Enumeration Date
2022-08-11
Last Update Date
2024-04-22
Business Address
ABIGAIL RUSSELL LCSW
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304-5280
Phone number: 920-610-5119
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Mailing Address
ABIGAIL RUSSELL LCSW
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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