Tracey Russell, LMSW

NPI #1609018779 in Forrest City, Arkansas

Provider Information

NPI Number: 1609018779
Entity Type: Individual
Name: Tracey Russell, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Apr 3, 2009
Last Updated: Apr 3, 2009

Practice Location

Address: 1825 E BROADWAY ST
City: Forrest City
State: Arkansas
ZIP Code: 72335-3409
Phone: (870) 630-2328

Specialties & Taxonomy Codes

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

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