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1699158188
UTA RUSSELL
DAVIS, CA
NPI
1699158188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW65006)
Enumeration Date
2015-07-02
Last Update Date
2015-08-19
Business Address
Ms. UTA RUSSELL LCSW
732 THIRD STREET SUITE A
DAVIS, CA 95616
Phone number: 530-400-4082
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Mailing Address
Ms. UTA RUSSELL LCSW
732 THIRD STREET SUITE A
DAVIS, CA 95616
Phone number: 530-400-4082
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