Individual
MICHELLE LYNN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1013
(724) 997-5643
Mailing address
311 CASTNER AVE, DONORA, PA 15033-1810
(724) 518-9423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129626
PA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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