MARY RUSSELL

URBANA, IL
NPI1922472927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: IL  071.007739)
Enumeration Date2015-11-15
Last Update Date2015-11-15
Business Address
Dr. MARY RUSSELL Ph.D.
404 W GREEN ST
URBANA, IL 61801-3267
Phone number: 217-621-9302
Mailing Address
Dr. MARY RUSSELL Ph.D.
404 W GREEN ST
URBANA, IL 61801-3267
Phone number: 217-621-9302