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Individual

LADONNA RUSSUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
9480 THREE RIVERS RD, GULFPORT, MS 39503-4248
(228) 313-3106
Mailing address
102 KELLEY CV, PASS CHRISTIAN, MS 39571-2226
(504) 756-9044

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
07/10/2019
Last updated
05/21/2024
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