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1992803795
ANDREA SYNNESTVEDT RUSSELL
TRAVERSE CITY, MI
NPI
1992803795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801085121)
Enumeration Date
2006-09-20
Last Update Date
2024-01-17
Business Address
ANDREA SYNNESTVEDT RUSSELL LMSW
4230 COPPER RIDGE DR
TRAVERSE CITY, MI 49684-7256
Phone number: 231-935-6380
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Mailing Address
ANDREA SYNNESTVEDT RUSSELL LMSW
800 COTTAGEVIEW DR STE 1076
TRAVERSE CITY, MI 49684-2614
Phone number: 231-218-6664
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