PANOLA RUSSELL

COLUMBUS, OH
NPI1447889654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  173218)
Enumeration Date2020-04-08
Last Update Date2020-04-08
Business Address
PANOLA RUSSELL
5460 CLEVELAND AVE
COLUMBUS, OH 43231-4005
Phone number: 614-754-8555
Mailing Address
PANOLA RUSSELL
5460 CLEVELAND AVE
COLUMBUS, OH 43231-4005
Phone number: 614-614-5688
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