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1821258344
EMILY B. RUSSELL
PORTLAND, ME
NPI
1821258344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC13649)
Enumeration Date
2008-06-10
Last Update Date
2015-01-23
Business Address
-- EMILY B. RUSSELL LCSW
165 LANCASTER ST
PORTLAND, ME 04101-2406
Phone number: 207-874-1030
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Mailing Address
-- EMILY B. RUSSELL LCSW
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-661-6654
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