ELLIE CLAIRE RUSSELL

SARASOTA, FL
NPI1427868181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: FL  IMT4219)
Enumeration Date2025-01-13
Last Update Date2025-01-13
Business Address
ELLIE CLAIRE RUSSELL IMT4219
715 N WASHINGTON BLVD
SARASOTA, FL 34236-4256
Phone number: 941-876-8990
Mailing Address
ELLIE CLAIRE RUSSELL IMT4219
500 110TH AVE N APT 510
ST PETERSBURG, FL 33716-3153
Phone number: 615-878-5775