RICHARD RUSSELL

WESTBROOK, ME
NPI1447989611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ME  XL6578)
Enumeration Date2022-06-06
Last Update Date2022-06-06
Business Address
RICHARD RUSSELL
5 PIONEER RD
WESTBROOK, ME 04092-4523
Phone number: 207-357-6173
Mailing Address
RICHARD RUSSELL
68 BONNYBRIAR RD
SOUTH PORTLAND, ME 04106-6309
Phone number:
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