Individual
ELLA MARGARET RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 S KANNER HWY, STUART, FL 34994-2106
(185) 583-2672
Mailing address
21027 ASHLYN CIR, FORT MILL, SC 29707-8108
(704) 780-0644
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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