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1427414911
DYLAN RUSSELL
WALLA WALLA, WA
NPI
1427414911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-01-13
Last Update Date
2023-10-20
Business Address
DYLAN RUSSELL MSW
1520 KELLY PL
WALLA WALLA, WA 99362-8607
Phone number: 509-575-4084
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Mailing Address
DYLAN RUSSELL MSW
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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