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1649734443
KARLY RUSSELL
LANSING, MI
NPI
1649734443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801103267)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
KARLY RUSSELL
3411 STONELEIGH DR
LANSING, MI 48910-4821
Phone number: 517-882-1620
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Mailing Address
KARLY RUSSELL
3186 PINETREE RD
LANSING, MI 48911-4232
Phone number: 616-822-5480
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