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1457826919
BRIDGET KATHLEEN RUSSELL
FULLERTON, CA
NPI
1457826919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 85186)
Enumeration Date
2018-10-10
Last Update Date
2019-03-06
Business Address
BRIDGET KATHLEEN RUSSELL LCSW
136 MELVILLE DR
FULLERTON, CA 92835-3531
Phone number: 310-500-0677
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Mailing Address
BRIDGET KATHLEEN RUSSELL LCSW
136 MELVILLE DR
FULLERTON, CA 92835-3531
Phone number: 310-500-0677
Copy
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