Individual
MS. ANNEMARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,ACSW,MPH
Contact information
Practice address
5249 DUKE ST, SUITE 200, ALEXANDRIA, VA 22304-2926
(571) 730-7065
(703) 642-5483
Mailing address
5249 DUKE ST, SUITE 200, ALEXANDRIA, VA 22304-2926
(571) 730-7065
(703) 642-5483
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
074664-1
NY
1041C0700X
Clinical Social Worker
Primary
0904007111
VA
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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