Nancy Rae Russell, LCSW

NPI #1003942962 in St Petersburg, Florida

Provider Information

NPI Number
1003942962
Entity Type
Individual
Name
Nancy Rae Russell, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 26, 2007
Last Updated
Feb 22, 2012

Practice Location

Address
6737 1ST AVE S
State
Florida
ZIP Code
33707-1307
Phone
(727) 341-1000

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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