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1487991972
CEIRRA ALISE RUSSELL
KALAMAZOO, MI
NPI
1487991972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801094383)
Enumeration Date
2013-01-03
Last Update Date
2013-01-03
Business Address
-- CEIRRA ALISE RUSSELL LLMSW
610 S BURDICK ST
KALAMAZOO, MI 49007-5221
Phone number: 269-381-3700
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Mailing Address
-- CEIRRA ALISE RUSSELL LLMSW
610 S BURDICK ST
KALAMAZOO, MI 49007-5221
Phone number: 269-381-3700
Copy
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