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1497191183
SUNNY R RUSSELL
OLYMPIA, WA
NPI
1497191183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60579604)
Enumeration Date
2013-05-21
Last Update Date
2021-02-01
Business Address
SUNNY R RUSSELL
673 WOODLAND SQUARE LOOP SE STE 330
OLYMPIA, WA 98503-1066
Phone number: 888-364-5977
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Mailing Address
SUNNY R RUSSELL
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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