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1619024569
VINITA B. RUSSELL
QUINCY, MA
NPI
1619024569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 212350)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Mrs. VINITA B. RUSSELL LCSW
500 VICTORY RD
QUINCY, MA 02171-3139
Phone number: 617-774-1040
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Mailing Address
Mrs. VINITA B. RUSSELL LCSW
238 THACHER ST
MILTON, MA 02186-3220
Phone number: 617-696-9913
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