MRS. Stacey Russell, LMSW

NPI #1528781093 in Gwynn Oak, Maryland

Provider Information

NPI Number: 1528781093
Entity Type: Individual
Name: MRS. Stacey Russell, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Sep 20, 2022
Last Updated: Sep 20, 2022

Practice Location

Address: 4302 DANLOU DR
City: Gwynn Oak
State: Maryland
ZIP Code: 21207-6406
Phone: (410) 500-0422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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