Ashley Lynn Russom

NPI #1841768553 in Paragould, Arkansas

Provider Information

NPI Number: 1841768553
Entity Type: Individual
Name: Ashley Lynn Russom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 12, 2018
Last Updated: Nov 12, 2018

Practice Location

Address: 28 SOUTHPOINTE DR
City: Paragould
State: Arkansas
ZIP Code: 72450-6238
Phone: (870) 239-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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