Caressa Russell

NPI #1649898529 in Miami, Oklahoma

Provider Information

NPI Number: 1649898529
Entity Type: Individual
Name: Caressa Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 8, 2020
Last Updated: Aug 23, 2021

Practice Location

Address: 111 S TREATY RD
City: Miami
State: Oklahoma
ZIP Code: 74354-5327
Phone: (918) 540-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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