Tina Marie Russell

NPI #1043713753 in Mchenry, Illinois

Provider Information

NPI Number
1043713753
Entity Type
Individual
Name
Tina Marie Russell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Enumeration Date
Mar 9, 2018
Last Updated
Mar 9, 2018

Practice Location

Address
4031 W DAYTON ST
ZIP Code
60050-8377
Phone
(815) 344-1230

Specialties & Taxonomy Codes

Specialty
Social Worker

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