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1699810614
STEPHANIE SUZANNE RUSSELL
BEND, OR
NPI
1699810614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1525)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Dr. STEPHANIE SUZANNE RUSSELL Psy.D.
223 SE DAVIS AVE
BEND, OR 97702-1333
Phone number: 541-330-2254
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Mailing Address
Dr. STEPHANIE SUZANNE RUSSELL Psy.D.
PO BOX 146
BEND, OR 97709-0146
Phone number: 541-330-2254
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