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1770069379
JONATHAN SCOTT RUSSELL
JACKSONVILLE, AR
NPI
1770069379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
JONATHAN SCOTT RUSSELL LMSW
2126 N 1ST ST STE F
JACKSONVILLE, AR 72076-2868
Phone number: 501-982-5000
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Mailing Address
JONATHAN SCOTT RUSSELL LMSW
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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