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1932694791
ROBERT EDWARD RUSSELL
ZANESVILLE, OH
NPI
1932694791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 101214)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
ROBERT EDWARD RUSSELL LCDC II
1590 COAL RUN RD.
ZANESVILLE, OH 43701
Phone number: 740-297-4417
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Mailing Address
ROBERT EDWARD RUSSELL LCDC II
1590 COAL RUN RD.
ZANESVILLE, OH 43701
Phone number: 740-297-4417
Copy
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