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Individual
RUSSELL H GOLEMON
Active
Individual
RUSSELL H GOLEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
1041C0700X
Clinical Social Worker
Primary
—
NC
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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