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1982228235
RUSSELL ANDERSON
MANDEVILLE, LA
NPI
1982228235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: LA 1539PL)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
RUSSELL ANDERSON PhD
2810 E CAUSEWAY APPROACH
MANDEVILLE, LA 70448-3502
Phone number: 985-875-2340
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Mailing Address
RUSSELL ANDERSON PhD
101 LAFITTE ALY
SLIDELL, LA 70461-2717
Phone number: 985-643-9491
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