Individual
JODI RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
386 COLLINS MOUNTAIN RD, RICHMOND, VT 05477-9496
(802) 434-7633
Mailing address
386 COLLINS MOUNTAIN RD, RICHMOND, VT 05477-9496
(802) 434-7633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09138225
—
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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