ANDREA M RUSSELL

O FALLON, IL
NPI1619115557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.009661)
Enumeration Date2009-01-30
Last Update Date2009-01-30
Business Address
-- ANDREA M RUSSELL MS, CCC-SLP
634 N MAIN ST SUITE 3
O FALLON, IL 62269-3733
Phone number: 618-632-4222
Mailing Address
-- ANDREA M RUSSELL MS, CCC-SLP
634 N MAIN ST SUITE 3
O FALLON, IL 62269-3733
Phone number: 618-632-4222
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