MS. Diane Gail Russell, M.S.W.

NPI #1245380781 in Roseville, Michigan

Provider Information

NPI Number: 1245380781
Entity Type: Individual
Name: MS. Diane Gail Russell, M.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: M.S.W.
Enumeration Date: Jan 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 25869 KELLY RD
Address 2: SUITE A
City: Roseville
State: Michigan
ZIP Code: 48066-4997
Phone: (586) 773-6020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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