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1437510005
SHANNON RUSSELL
LOUISVILLE, KY
NPI
1437510005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: KY ABALBA00225141)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
-- SHANNON RUSSELL LBA
1519 BAXTER AVE
LOUISVILLE, KY 40205-1008
Phone number: 502-409-7181
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Mailing Address
-- SHANNON RUSSELL LBA
1519 BAXTER AVE
LOUISVILLE, KY 40205-1008
Phone number: 502-409-7181
Copy
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