ALISA RUSSELL

CONCORD, NC
NPI1710101209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  2008)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- ALISA RUSSELL M.S.
15 SPENCER AVE NW
CONCORD, NC 28025-4316
Phone number: 704-795-7600
Mailing Address
-- ALISA RUSSELL M.S.
PO BOX 1298
CONCORD, NC 28026-1298
Phone number:
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