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1720755382
ROXIE RUSSELL
SALT LAKE CITY, UT
NPI
1720755382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 12440197-6004)
Enumeration Date
2021-08-23
Last Update Date
2024-09-18
Business Address
ROXIE RUSSELL CMHC
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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Mailing Address
ROXIE RUSSELL CMHC
430 CLOVERDALE RD
NORTH SALT LAKE, UT 84054-2323
Phone number: 205-937-6916
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