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1417609629
INGER LUCILLE RUSS
FORT WORTH, TX
NPI
1417609629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 26571)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
Ms. INGER LUCILLE RUSS LCSW
10616 SAN SIMEON LN
FORT WORTH, TX 76179-6835
Phone number: 817-996-5438
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Mailing Address
Ms. INGER LUCILLE RUSS LCSW
10616 SAN SIMEON LN
FORT WORTH, TX 76179-6835
Phone number: 817-996-5438
Copy
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