SCOTT I RUSSELL

LOS ANGELES, CA
NPI1740732338
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: CA  ASW71593)
Enumeration Date2016-10-29
Last Update Date2019-07-21
Business Address
MR. SCOTT I RUSSELL MSW
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
Mailing Address
MR. SCOTT I RUSSELL MSW
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
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