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1558044040
CHRISTOPHER TODD RUSSELL
JONESBORO, AR
NPI
1558044040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 10092-C)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
CHRISTOPHER TODD RUSSELL LCSW
615 E MATTHEWS AVE
JONESBORO, AR 72401-3145
Phone number: 870-816-0295
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Mailing Address
CHRISTOPHER TODD RUSSELL LCSW
615 E MATTHEWS AVE
JONESBORO, AR 72401-3145
Phone number: 870-816-0295
Copy
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