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Individual

CYNTHIA MARIE RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
460 BRIARGATE DR, SUITE 700, SOUTH ELGIN, IL 60177-2227
(847) 488-1999
(847) 488-9797
Mailing address
271 ELMWOOD LN UNIT A2, SCHAUMBURG, IL 60193-2032
(773) 629-3082

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013675
IL

Other

Enumeration date
12/01/2006
Last updated
12/20/2019
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