Individual
MR. RUSSELL VERNON PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
288 N IRONWOOD DR, APACHE JUNCTION, AZ 85220-3830
(480) 982-2356
(480) 982-2449
Mailing address
3717 E SHAPINSAY DR, QUEEN CREEK, AZ 85242-5038
(480) 987-9460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4155
AZ
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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