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1891821963
ELLEN RUSSIN J RUSSIN
PALO ALTO, CA
NPI
1891821963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS6935)
Enumeration Date
2007-02-25
Last Update Date
2007-07-08
Business Address
-- ELLEN RUSSIN J RUSSIN LCSW
667 LYTTON AVE
PALO ALTO, CA 94301-1335
Phone number: 650-566-0061
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Mailing Address
-- ELLEN RUSSIN J RUSSIN LCSW
667 LYTTON AVE
PALO ALTO, CA 94301-1335
Phone number: 650-566-0061
Copy
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