Tabby Jeane Russell
NPI #1013213438 in Evansville, Wyoming
Provider Information
- NPI Number
- 1013213438
- Entity Type
- Individual
- Name
- Tabby Jeane Russell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Feb 2, 2011
- Last Updated
- Feb 2, 2011
Practice Location
- Address
- 808 SILVER SAGE
- City
- Evansville
- State
- Wyoming
- ZIP Code
- 82636-9532
- Phone
- (307) 251-2459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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