MRS. Julie Russell, MSW, LCSW

NPI #1780655126 in Manchester, Missouri

Provider Information

NPI Number: 1780655126
Entity Type: Individual
Name: MRS. Julie Russell, MSW, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Feb 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 498 WOODS MILL RD
City: Manchester
State: Missouri
ZIP Code: 63011-4144
Phone: (636) 391-9966

Specialties & Taxonomy Codes

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

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