Individual
MS. AMY-MARETTE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4050 LAKE OTIS PKWY STE 111, ANCHORAGE, AK 99508-5224
(907) 562-4550
Mailing address
4050 LAKE OTIS PKWY STE 111, ANCHORAGE, AK 99508-5224
(907) 562-4550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
186
AK
Other
Enumeration date
03/20/2007
Last updated
04/06/2009
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