Fredreaka Russell

NPI #1649452178 in Queen Creek, Arizona

Provider Information

NPI Number: 1649452178
Entity Type: Individual
Name: Fredreaka Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 27, 2007
Last Updated: Nov 27, 2007

Practice Location

Address: 530 E HUNT HWY
Address 2: SUITE 103-230
City: Queen Creek
State: Arizona
ZIP Code: 85243-6581
Phone: (602) 579-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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