Individual
DEBORAH RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW MAC
Contact information
Practice address
35831 TURNBUCKLE TERRACE RD, SOLDOTNA, AK 99669-6737
(907) 398-2396
(907) 891-7873
Mailing address
PO BOX 8501, NIKISKI, AK 99635-8501
(907) 398-2396
(907) 891-7873
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
191463
AK
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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