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Individual
MRS. MONIQUE RUSSELL
Active
Individual
MRS. MONIQUE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
109638
—
1041C0700X
Clinical Social Worker
Primary
099073
NY
1041C0700X
Clinical Social Worker
29801
MN
1041C0700X
Clinical Social Worker
CSW009661
GA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/28/2018
Last updated
07/02/2026
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