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1629119557
PATRICIA L RUSSELL
LOS ANGELES, CA
NPI
1629119557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 28080)
Enumeration Date
2007-02-12
Last Update Date
2012-05-23
Business Address
-- PATRICIA L RUSSELL LCSW
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-432-5185
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Mailing Address
-- PATRICIA L RUSSELL LCSW
5139 1 4 WEST ADAMS BLVD.
LOS ANGELES, CA 90016-2729
Phone number: 323-423-2996
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