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1396877742
SCOTT M RUSSELL
ATLANTA, GA
NPI
1396877742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP005782)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- SCOTT M RUSSELL Ms CCC-SLP
1364 CLIFTON ROAD
ATLANTA, GA 30315
Phone number: 404-778-7777
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Mailing Address
-- SCOTT M RUSSELL Ms CCC-SLP
1858 LAKEWOOD TER SE
ATLANTA, GA 30315-6664
Phone number:
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