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1659560225
ANNA M RUSSELL LCSW PC
CHEYENNE, WY
NPI
1659560225
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Entity Type
Organization
Authorized Contact
ANNA M RUSSELL
Owner
307-634-6594
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WY 231)
Enumeration Date
2007-10-19
Last Update Date
2007-11-13
Business Address
ANNA M RUSSELL LCSW PC
2909 BENT AVE
CHEYENNE, WY 82001-2742
Phone number: 307-634-6594
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Mailing Address
ANNA M RUSSELL LCSW PC
2909 BENT AVE
CHEYENNE, WY 82001-2742
Phone number: 307-634-6495
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