MS. Jessica Nicole Jack Russell, LISW
NPI #1184776692 in Warren, Ohio
Provider Information
- NPI Number
- 1184776692
- Entity Type
- Individual
- Name
- MS. Jessica Nicole Jack Russell, LISW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Nov 4, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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