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1578290953
JENNIFER CAROL RUSSELL
MONROE, CT
NPI
1578290953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 7606)
Enumeration Date
2022-08-04
Last Update Date
2024-10-15
Business Address
JENNIFER CAROL RUSSELL LPC
887 MAIN ST STE 1B
MONROE, CT 06468-2800
Phone number: 203-200-0847
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Mailing Address
JENNIFER CAROL RUSSELL LPC
18 AUNT PATTYS LN W
BETHEL, CT 06801-2912
Phone number: 203-451-0039
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