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1487005757
ALYSSA L. RUSSELL
NORTON SHORES, MI
NPI
1487005757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095508)
Enumeration Date
2016-06-28
Last Update Date
2020-03-13
Business Address
ALYSSA L. RUSSELL LMSW
6425 S. HARVEY ST
NORTON SHORES, MI 49444-9739
Phone number: 231-737-3469
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Mailing Address
ALYSSA L. RUSSELL LMSW
5800 FOREMOST DR SE STE 300
GRAND RAPIDS, MI 49546-7062
Phone number: 616-954-9800
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