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1982643094
ANGELA L RUSSELL
LARGO, MD
NPI
1982643094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC1591)
Enumeration Date
2006-06-05
Last Update Date
2007-07-20
Business Address
-- ANGELA L RUSSELL LCPC
1400 MERCANTILE LN 232
LARGO, MD 20774-5341
Phone number: 301-583-0001
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Mailing Address
-- ANGELA L RUSSELL LCPC
1400 MERCANTILE LN 232
LARGO, MD 20774-5341
Phone number: 301-583-0001
Copy
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