BETHANY C RUSSELL

AUGUSTA, ME
NPI1427621044
Other NameNOT APPLICABLE NOT APPLICABLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ME  LC22511)
Enumeration Date2021-07-21
Last Update Date2023-07-17
Business Address
MRS. BETHANY C RUSSELL LCSW
116 STATE ST
AUGUSTA, ME 04330-5632
Phone number: 207-877-1041
Mailing Address
MRS. BETHANY C RUSSELL LCSW
17 SELDEN LN
OAKLAND, ME 04963-5081
Phone number: 207-877-1041
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