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1700975208
JULIA RUSSOMANNO
CHANDLER, AZ
NPI
1700975208
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Former Name
JULIA BUNKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-10273)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- JULIA RUSSOMANNO MC, LPC
1351 N ALMA SCHOOL RD 205
CHANDLER, AZ 85224-5936
Phone number: 480-491-7048
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Mailing Address
-- JULIA RUSSOMANNO MC, LPC
1093 W GLENMERE DR
CHANDLER, AZ 85224-7581
Phone number: 602-750-4018
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