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Individual
MR. GREER BENNETT RUSSELL
Active
Individual
MR. GREER BENNETT RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC14740
MD
Other
Enumeration date
01/05/2022
Last updated
04/14/2025
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