Individual
DR. RUSSELL EDWARD VANCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8000 LAUDERDALE DR, EVANSVILLE, IN 47715-6238
(812) 550-0127
Mailing address
8000 LAUDERDALE DR, EVANSVILLE, IN 47715-6238
(812) 550-0127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39000214A
IN
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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