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Individual
RUSS SANDERS
Active
Individual
RUSS SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006428
GA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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