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1639391071
SCOTTY WAYNE RUSSELL
LITTLE ROCK, AR
NPI
1639391071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AR 1783-M)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Mr. SCOTTY WAYNE RUSSELL LMSW
4300 W 7TH ST
LITTLE ROCK, AR 72205-5446
Phone number: 501-257-3316
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Mailing Address
Mr. SCOTTY WAYNE RUSSELL LMSW
1007 W BOOTH RD
SEARCY, AR 72143-8628
Phone number: 501-279-7658
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