Mark Russell, LCSW

NPI #1144752221 in Punxsutawney, Pennsylvania

Provider Information

NPI Number
1144752221
Entity Type
Individual
Name
Mark Russell, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 29, 2017
Last Updated
Mar 29, 2017

Practice Location

Address
475 SYKESVILLE TROUTVILLE RD
ZIP Code
15767-4367
Phone
(814) 591-1997

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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