Individual
MRS. NATALIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
106 W SEEBOTH ST STE 101, MILWAUKEE, WI 53204-4329
(414) 378-5379
Mailing address
2233 N 56TH ST, MILWAUKEE, WI 53208-1029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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