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1760129811
CHANELL RUSSELL
DETROIT, MI
NPI
1760129811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2022-05-18
Last Update Date
2023-07-05
Business Address
CHANELL RUSSELL
7375 WOODWARD AVE SUITE 2800
DETROIT, MI 48202
Phone number: 855-568-2492
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Mailing Address
CHANELL RUSSELL
9618 BEECH DALY RD
REDFORD, MI 48239-2170
Phone number: 734-933-0375
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