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THERESA RUSSELL, CADC-11

CADC-11

Specialist

NPI: 1255465530Individual

Specialties, Licenses & Credentials

SpecialistPrimary

Specialist

Code: 174400000X

A8463203(CA)

Contact & Hours

Address
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726

Quick Facts

NPI
1255465530
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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