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Individual

KAREN LEE RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1224 BALTIMORE PIKE, SUITE 204, CHADDS FORD, PA 19317-7380
(610) 322-3376
Mailing address
PO BOX 252, WEST GROVE, PA 19390-0252
(610) 322-3376

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014656
PA

Other

Enumeration date
05/16/2015
Last updated
05/16/2015
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