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Individual
MS. SUSAN MARIE RUSSELL
Active
Individual
MS. SUSAN MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
011327
OH
1041C0700X
Clinical Social Worker
Primary
I0700087
OH
Other
Enumeration date
05/21/2007
Last updated
09/22/2025
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