SHANE RENEE RUSSELL

LAKE CITY, FL
NPI1548361850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA7504)
Enumeration Date2006-09-26
Last Update Date2007-07-09
Business Address
Ms. SHANE RENEE RUSSELL MS CCC-SLP
247 SW LONG LEAF DR
LAKE CITY, FL 32024-4241
Phone number: 386-752-3274
Mailing Address
Ms. SHANE RENEE RUSSELL MS CCC-SLP
247 SW LONG LEAF DR
LAKE CITY, FL 32024-4241
Phone number: 386-752-3274
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