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1730699182
ANDREA RUSSELL
OLYMPIA FIELDS, IL
NPI
1730699182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180010847)
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
ANDREA RUSSELL LCPC
20280 GOVERNORS HWY STE 207
OLYMPIA FIELDS, IL 60461-1028
Phone number: 708-794-6461
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Mailing Address
ANDREA RUSSELL LCPC
825 E 41ST ST APT 1B
CHICAGO, IL 60653-2481
Phone number:
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