DAVID LEE RUSSELL

PORTAGE, MI
NPI1548362171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6301006163)
Enumeration Date2006-09-03
Last Update Date2008-02-08
Business Address
Dr. DAVID LEE RUSSELL Ed.D.
8036 MOORSBRIDGE ROAD SUITE #2
PORTAGE, MI 49024-4417
Phone number: 269-327-1438
Mailing Address
Dr. DAVID LEE RUSSELL Ed.D.
PO BOX 2585
PORTAGE, MI 49081-2585
Phone number: 269-381-0150
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