Shardae D Russell

NPI #1033948567 in Aurora, Illinois

Provider Information

NPI Number: 1033948567
Entity Type: Individual
Name: Shardae D Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Aug 1, 2024
Last Updated: Aug 1, 2024

Practice Location

Address: 225 N OAKHURST DR APT 33
City: Aurora
State: Illinois
ZIP Code: 60504-6654
Phone: (773) 987-2513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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