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Individual

MRS. LAURA P RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
3303 US HIGHWAY 70 E, NEW BERN, NC 28560-6929
(252) 675-2381
Mailing address
3303 US HIGHWAY 70 E, NEW BERN, NC 28560-6929
(252) 675-2381

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7730
NC

Other

Enumeration date
03/29/2010
Last updated
07/25/2012
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