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1942597455
JOAN COLLEEN RUSSELL
GEORGETOWN, TX
NPI
1942597455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 63702)
Enumeration Date
2011-07-05
Last Update Date
2011-07-05
Business Address
Mrs. JOAN COLLEEN RUSSELL LPC
1504 LEANDER RD
GEORGETOWN, TX 78628-8801
Phone number: 512-864-0977
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Mailing Address
Mrs. JOAN COLLEEN RUSSELL LPC
1504 LEANDER RD
GEORGETOWN, TX 78628-8801
Phone number: 512-864-0977
Copy
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