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1740732338
SCOTT I RUSSELL
LOS ANGELES, CA
NPI
1740732338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW71593)
Enumeration Date
2016-10-29
Last Update Date
2019-07-21
Business Address
Mr. SCOTT I RUSSELL MSW
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
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Mailing Address
Mr. SCOTT I RUSSELL MSW
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
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