MRS. Kaileen Russell, LICSW
NPI #1073860847 in East Longmeadow, Massachusetts
Provider Information
- NPI Number
- 1073860847
- Entity Type
- Individual
- Name
- MRS. Kaileen Russell, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Aug 10, 2012
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 264 N MAIN ST STE 14
- City
- East Longmeadow
- State
- Massachusetts
- ZIP Code
- 01028-1837
- Phone
- (413) 564-1407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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