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1922751783
KAITLYN RUSSELL
DENTON, TX
NPI
1922751783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TX 81684)
Enumeration Date
2022-02-01
Last Update Date
2022-02-01
Business Address
KAITLYN RUSSELL LPC
215 E UNIVERSITY DR
DENTON, TX 76209-2011
Phone number: 940-437-4912
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Mailing Address
KAITLYN RUSSELL LPC
215 E UNIVERSITY DR
DENTON, TX 76209-2011
Phone number: 940-437-4912
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