Individual
KELLY O'ROURKE-RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8459
(540) 443-0053
Mailing address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8459
(540) 443-0053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006467
VA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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