Individual
MRS. HEATHER BRIANNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 N THOMPSON ST, SPRINGDALE, AR 72764-4118
(479) 750-8880
Mailing address
1677 LAKE ESTATES DR, ELM SPRINGS, AR 72762-5288
(479) 595-2497
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
6826363
AR
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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