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1700918307
LAURA RUSSELL
SAN DIEGO, CA
NPI
1700918307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 20833)
Enumeration Date
2007-03-09
Last Update Date
2021-12-01
Business Address
LAURA RUSSELL lcsw
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8261
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Mailing Address
LAURA RUSSELL lcsw
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8261
Copy
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