Individual
ADRIENNE RUSSELL-GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 STARLIGHT PL, ROCKWALL, TX 75087-2296
(803) 720-4534
Mailing address
2968 SUNRIDGE DR, SCHERTZ, TX 78108-3049
(803) 720-4534
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/26/2018
Last updated
05/25/2023
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