MS. Jean Alice Russell, LICSW
NPI #1700903598 in Barrington, Rhode Island
Provider Information
- NPI Number
- 1700903598
- Entity Type
- Individual
- Name
- MS. Jean Alice Russell, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Mar 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7 FOUNTAIN AVE
- City
- Barrington
- State
- Rhode Island
- ZIP Code
- 02806-1403
- Phone
- (401) 440-2072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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