Individual
GABRIEL DAVID RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LLMSW
Contact information
Practice address
608 WRIGHT AVE, ALMA, MI 48801-1617
(989) 463-4971
Mailing address
608 WRIGHT AVE, ALMA, MI 48801-1617
(989) 463-4971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118438
MI
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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