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1831753664
AMANDA RUSSO
PLANO, TX
NPI
1831753664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 74419)
Enumeration Date
2019-04-26
Last Update Date
2019-06-11
Business Address
AMANDA RUSSO LPC
1701 E 15TH ST
PLANO, TX 75074-6436
Phone number: 972-693-4444
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Mailing Address
AMANDA RUSSO LPC
PO BOX 261742
PLANO, TX 75026-1742
Phone number:
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