Jacqueline Russell
NPI #1194267419 in Alamogordo, New Mexico
Provider Information
- NPI Number
- 1194267419
- Entity Type
- Individual
- Name
- Jacqueline Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 17, 2016
- Last Updated
- Feb 9, 2024
Practice Location
- Address
- 1301 OREGON AVE
- City
- Alamogordo
- State
- New Mexico
- ZIP Code
- 88310-5710
- Phone
- (575) 443-6166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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