MRS. Leslie Russell, LICSW
NPI #1316998628 in Peabody, Massachusetts
Provider Information
- NPI Number
- 1316998628
- Entity Type
- Individual
- Name
- MRS. Leslie Russell, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3 ESSEX GREEN DR
- Address 2
- SUITE ONE
- City
- Peabody
- State
- Massachusetts
- ZIP Code
- 01960-2913
- Phone
- (978) 979-5371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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