Individual
LUCY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21770 FDR BLVD, LEXINGTON PARK, MD 20653
(301) 997-1300
Mailing address
40913 COOPER DR, LEONARDTOWN, MD 20650-2618
(240) 577-4498
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25062
MD
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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