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1780819474
SANDRA RUSSELL
FAIR OAKS, CA
NPI
1780819474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT47160)
Enumeration Date
2009-05-25
Last Update Date
2009-05-25
Business Address
-- SANDRA RUSSELL MFT
7996 OLD WINDING WAY STE 210
FAIR OAKS, CA 95628-7159
Phone number: 916-213-1017
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Mailing Address
-- SANDRA RUSSELL MFT
PO BOX 1982
FAIR OAKS, CA 95628-1982
Phone number: 916-213-1017
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