Individual
MR. ERIC BERNARD RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
15740 TURNBERRY ST, MORENO VALLEY, CA 92555-4903
(951) 363-8449
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126347
CA
Other
Enumeration date
10/28/2024
Last updated
03/07/2025
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