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1588283816
BRIANNA JAYDE RUSSELL
MONROE, NC
NPI
1588283816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 25982)
Enumeration Date
2020-04-16
Last Update Date
2020-04-16
Business Address
BRIANNA JAYDE RUSSELL
1190 W ROOSEVELT BLVD
MONROE, NC 28110-2818
Phone number: 704-296-6200
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Mailing Address
BRIANNA JAYDE RUSSELL
284 EXECUTIVE PARK DR
CONCORD, NC 28025-1831
Phone number: 704-939-1100
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