RANDOLPH GRAHAM RUSS

WELLINGTON, FL
NPI1437326873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH0002620)
Enumeration Date2008-05-14
Last Update Date2009-04-24
Business Address
Mr. RANDOLPH GRAHAM RUSS M. A.
2190 SUNDERLAND AVE
WELLINGTON, FL 33414-7722
Phone number: 561-201-7180
Mailing Address
Mr. RANDOLPH GRAHAM RUSS M. A.
2190 SUNDERLAND AVENUE
WELLINGTON, FL 33414
Phone number: 561-201-7180
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