Individual
KAREN REGINA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 N CASSADY AVE, COLUMBUS, OH 43219-1512
(614) 967-9348
Mailing address
1537 S CHAMPION AVE, COLUMBUS, OH 43207-1305
(614) 778-6060
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/25/2024
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