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Individual

SANAA RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
403 SEWARD SQ SE, WASHINGTON, DC 20003-6104
(443) 690-5857
Mailing address
2372 FLAX TER, BALTIMORE, MD 21209-4624
(516) 513-4776

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MD
106S00000X
Behavior Technician

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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