Regina Russell, LCSW

NPI #1003886276 in Bolivar, Missouri

Provider Information

NPI Number
1003886276
Entity Type
Individual
Name
Regina Russell, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 23, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
315 S MAIN AVE
ZIP Code
65613-2052
Phone
(417) 326-2902

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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