Individual
MS. MYLINDA ORENE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SR. PSYCH. EXAMINER
Contact information
Practice address
1413 S HOME ST, UNION CITY, TN 38261-5748
(731) 885-0201
(731) 884-2998
Mailing address
1413 S HOME ST, P.O. BOX 0057, UNION CITY, TN 38261-5748
(731) 885-0201
(731) 884-2998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SLPE 1414
TN
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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