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1548333180
MARY JANELLE RUSSELL
DURANT, OK
NPI
1548333180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 2697)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Ms. MARY JANELLE RUSSELL LPC
1105 LYNNWOOD ST
DURANT, OK 74701-2919
Phone number: 580-931-3441
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Mailing Address
Ms. MARY JANELLE RUSSELL LPC
4101 N LONE OAK RD
DURANT, OK 74701-7904
Phone number: 580-920-2016
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