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1881076396
RUSSELL REED
DIAMOND SPRINGS, CA
NPI
1881076396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 100786)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2015-06-19
Last Update Date
2021-06-07
Business Address
RUSSELL REED
4250 FOWLER LN STE 204
DIAMOND SPRINGS, CA 95619-9782
Phone number: 530-626-3105
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Mailing Address
RUSSELL REED
PO BOX 699
DIAMOND SPRINGS, CA 95619-0699
Phone number: 530-957-0403
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