Kathleen M Russell, LMSW

NPI #1841539269 in Jasper, Texas

Provider Information

NPI Number: 1841539269
Entity Type: Individual
Name: Kathleen M Russell, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 5, 2013
Last Updated: Feb 25, 2014

Practice Location

Address: 139 WEST LAMAR STREET
City: Jasper
State: Texas
ZIP Code: 75951
Phone: (409) 384-6829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Case Manager/Care Coordinator	171M00000X

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