Lydia Russell

NPI #1265151104 in Middletown, Ohio

Provider Information

NPI Number: 1265151104
Entity Type: Individual
Name: Lydia Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 24, 2022
Last Updated: Aug 24, 2022

Practice Location

Address: 4464 S DIXIE HWY
City: Middletown
State: Ohio
ZIP Code: 45005-5464
Phone: (513) 649-8008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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