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1750366597
KIM R RUSSELL
WASHINGTON, NJ
NPI
1750366597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC00447000)
Enumeration Date
2005-12-14
Last Update Date
2007-07-08
Business Address
-- KIM R RUSSELL LCSW
492 ROUTE 57 W
WASHINGTON, NJ 07882-4338
Phone number: 908-689-1000
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Mailing Address
-- KIM R RUSSELL LCSW
704 SPRUCE HILLS DR
GLEN GARDNER, NJ 08826-3706
Phone number:
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