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1972278240
LAURA DENISE RUSSELL
WHITEHALL, OH
NPI
1972278240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH cdca.166081)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
LAURA DENISE RUSSELL cdca
4000 E MAIN ST
WHITEHALL, OH 43213-2950
Phone number: 614-334-6903
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Mailing Address
LAURA DENISE RUSSELL cdca
4214 E MAIN ST
WHITEHALL, OH 43213-3028
Phone number: 614-334-6903
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