Jonathan Scott Russell, LMSW
NPI #1770069379 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1770069379
- Entity Type
- Individual
- Name
- Jonathan Scott Russell, LMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Jul 17, 2018
- Last Updated
- Jul 17, 2018
Practice Location
- Address
- 2126 N 1ST ST STE F
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-2868
- Phone
- (501) 982-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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