Individual
CAROLINE L. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6512 SIX FORKS RD STE 505, RALEIGH, NC 27615-6527
(919) 589-2955
(888) 975-6870
Mailing address
6512 SIX FORKS RD STE 505, RALEIGH, NC 27615-6527
(919) 589-2955
(888) 975-6870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
007056A
NC
1041C0700X
Clinical Social Worker
Primary
C008758
NC
Other
Enumeration date
09/17/2013
Last updated
01/23/2023
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