DOMINIQUE M RUSSELMAN

SAINT HELENS, OR
NPI1679855712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2011-09-14
Last Update Date2011-09-14
Business Address
DOMINIQUE M RUSSELMAN
271 COLUMBIA BLVD
SAINT HELENS, OR 97051-2021
Phone number: 503-397-0391
Mailing Address
DOMINIQUE M RUSSELMAN
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
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