Diane Mary Russell, MS

NPI #1003093055 in Ozark, Missouri

Provider Information

NPI Number
1003093055
Entity Type
Individual
Name
Diane Mary Russell, MS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
MS
Enumeration Date
Jan 22, 2008
Last Updated
Jan 22, 2008

Practice Location

Address
4699 N 21ST ST
City
Ozark
ZIP Code
65721-7684
Phone
(417) 581-4849

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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