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Organization

ELOCUTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JULIE ELIZABETH RUSSELL MS (SPEECH LANGUAGE PATHOLOGIST)
(916) 715-6780
Entity
Organization

Contact information

Practice address
176 JOHN HENRY CIR, FOLSOM, CA 95630-8112
(916) 715-6780
(916) 985-0846
Mailing address
176 JOHN HENRY CIR, FOLSOM, CA 95630-8112
(916) 715-6780
(916) 985-0846

Taxonomy

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

Other

Enumeration date
03/01/2022
Last updated
03/01/2022
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