Individual
JENNIFER RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
643 SUMMIT HOUSE, WEST CHESTER, PA 19382-6563
(484) 645-7966
Mailing address
643 SUMMIT HOUSE, WEST CHESTER, PA 19382-6563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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