Keliesha Ayannah Russell, CCLS
Keliesha Ayannah Russell, CCLS is a Developmental Therapist in South Hadley, Massachusetts. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
30 Old Lyman RdSouth Hadley, MA 01075-2630
Phone: (413) 533-7140
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1952738130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CCLS |
| Sole proprietor | No |
| NPI enumerated | October 2, 2013 |
| Last updated in NPPES | October 2, 2013 |
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Miss. Jennifer Ellen Tisdell
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30 Old Lyman Rd, South Hadley, MA 01075-2630 · (413) 533-7140