Jackie Lee Russell, LSW, MSW, LMSW
NPI #1104261346 in Dillingham, Alaska
Provider Information
- NPI Number
- 1104261346
- Entity Type
- Individual
- Name
- Jackie Lee Russell, LSW, MSW, LMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- LSW, MSW, LMSW
- Enumeration Date
- May 1, 2013
- Last Updated
- May 1, 2013
Practice Location
- Address
- 6000 KANAKANAK RD
- City
- Dillingham
- State
- Alaska
- ZIP Code
- 99576-0130
- Phone
- (907) 842-5201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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