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1730456195
CASEY LYNN RUSSELL
SALISBURY, MD
NPI
1730456195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC1605)
Enumeration Date
2011-11-29
Last Update Date
2018-04-18
Business Address
CASEY LYNN RUSSELL CSC-AD
1113 HEALTHWAY DR
SALISBURY, MD 21804-4470
Phone number: 410-334-6961
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Mailing Address
CASEY LYNN RUSSELL CSC-AD
1113 HEALTHWAY DR
SALISBURY, MD 21804-4470
Phone number: 410-334-6961
Copy
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