Individual
CONSTANCE L RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
644 W MEYER BLVD, KANSAS CITY, MO 64113-1544
(816) 520-0176
Mailing address
644 W MEYER BLVD, KANSAS CITY, MO 64113-1544
(816) 520-0176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1747
KS
1041C0700X
Clinical Social Worker
Primary
4462
MO
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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