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Individual

MRS. HILLARY DYAN RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, RC

Contact information

Practice address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 716-5725
Mailing address
1919 33RD ST, EVERETT, WA 98201-4404
(425) 876-7690

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60280452
WA
390200000X
Student in an Organized Health Care Education/Training Program
RC00055402
WA

Other

Enumeration date
06/05/2008
Last updated
03/14/2023
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