LISA EVEALINE RUSSELL

MAXWELTON, WV
NPI1821614371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2020-06-21
Last Update Date2020-06-21
Business Address
LISA EVEALINE RUSSELL HAB SPEC
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957-8066
Phone number: 304-497-0500
Mailing Address
LISA EVEALINE RUSSELL HAB SPEC
PO BOX 1001
RUPERT, WV 25984-1001
Phone number: 304-646-9083
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