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

Address
425 NILES CORTLAND RD SE
City
Warren
State
Ohio
ZIP Code
44484-2478
Phone
(330) 856-3975

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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