Kayla Russell, CSW

NPI #1033623921 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1033623921
Entity Type: Individual
Name: Kayla Russell, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: CSW
Enumeration Date: Nov 30, 2017
Last Updated: Nov 30, 2017

Practice Location

Address: 529 WESTPORT ROAD
City: Elizabethtown
State: Kentucky
ZIP Code: 42701
Phone: (270) 763-8225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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