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1811268444
AMANDA ROSEANNE RUSSELL
EUGENE, OR
NPI
1811268444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
-- AMANDA ROSEANNE RUSSELL M.A.
1790 W 11TH AVE STE A
EUGENE, OR 97402-3780
Phone number: 541-868-0661
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Mailing Address
-- AMANDA ROSEANNE RUSSELL M.A.
1790 W 11TH AVE STE A
EUGENE, OR 97402-3780
Phone number: 541-868-0661
Copy
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