Individual
CATHERINE LENORE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1409 WILLOW ST, STE 305, MINNEAPOLIS, MN 55403-3289
(612) 325-1905
(888) 314-7340
Mailing address
1409 WILLOW ST STE 305, SUITE 305, MINNEAPOLIS, MN 55403-3289
(612) 325-1905
(888) 314-7340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20480
MN
Other
Enumeration date
01/03/2014
Last updated
10/19/2017
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