Jennifer Leigh Russel
NPI #1235619891 in Springfield, Illinois
Provider Information
- NPI Number
- 1235619891
- Entity Type
- Individual
- Name
- Jennifer Leigh Russel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 14, 2018
- Last Updated
- Aug 14, 2018
Practice Location
- Address
- 5220 6TH STREET FRONTAGE RD E STE 1700
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-5771
- Phone
- (217) 525-8332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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