Individual
REBECCA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-BACS
Contact information
Practice address
405 ANDRY ST, NEW ORLEANS, LA 70117-3761
(413) 478-3331
Mailing address
405 ANDRY ST, NEW ORLEANS, LA 70117-3761
(413) 478-3331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11198
LA
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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