Mark Russell II, LCSW
NPI #1205669868 in New Hartford, New York
Provider Information
- NPI Number
- 1205669868
- Entity Type
- Individual
- Name
- Mark Russell II, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 20, 2024
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 69 OAKDALE AVE S
- City
- New Hartford
- State
- New York
- ZIP Code
- 13413-1325
- Phone
- (314) 335-6066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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