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1922706381
RUSSEL GLENN SCOTT
EL CAJON, CA
NPI
1922706381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 146895)
Enumeration Date
2023-02-15
Last Update Date
2024-10-19
Business Address
RUSSEL GLENN SCOTT
1664 BROADWAY
EL CAJON, CA 92021-5201
Phone number: 619-579-8685
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Mailing Address
RUSSEL GLENN SCOTT
1664 BROADWAY
EL CAJON, CA 92021-5201
Phone number: 619-579-8685
Copy
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