DAVID LEE RUSSELL

PROVIDENCE, RI
NPI1407234172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
-- DAVID LEE RUSSELL LCDP
60 COMSTOCK AVE
PROVIDENCE, RI 02907-1206
Phone number: 401-699-1088
Mailing Address
-- DAVID LEE RUSSELL LCDP
60 COMSTOCK AVENUE
PROVIDENCE, RI 02907
Phone number:
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