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1427621044
BETHANY C RUSSELL
AUGUSTA, ME
NPI
1427621044
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Other Name
NOT APPLICABLE NOT APPLICABLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ME LC22511)
Enumeration Date
2021-07-21
Last Update Date
2023-07-17
Business Address
Mrs. BETHANY C RUSSELL LCSW
116 STATE ST
AUGUSTA, ME 04330-5632
Phone number: 207-877-1041
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Mailing Address
Mrs. BETHANY C RUSSELL LCSW
17 SELDEN LN
OAKLAND, ME 04963-5081
Phone number: 207-877-1041
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