Individual
ALISON B RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
207 WINDWARD DR UNIT 1B, OCEAN CITY, MD 21842-7615
(443) 907-2631
Mailing address
207 WINDWARD DR UNIT 1B, OCEAN CITY, MD 21842-7615
(443) 907-2631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12466
MD
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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