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1902939572
STEPHEN REED RUSSELL
SYLVA, NC
NPI
1902939572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NC 3330)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN REED RUSSELL Ph.D.
154 MEDICAL PARK LOOP
SYLVA, NC 28779-5222
Phone number: 828-631-3973
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Mailing Address
Mr. STEPHEN REED RUSSELL Ph.D.
154 MEDICAL PARK LOOP
SYLVA, NC 28779-5222
Phone number: 828-631-3973
Copy
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