Individual
SARAH KATHERINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 NW W HWY, KINGSVILLE, MO 64061-9117
(660) 238-1529
Mailing address
441 NW W HWY, KINGSVILLE, MO 64061-9117
(660) 238-1529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2022028933
MO
Other
Enumeration date
05/08/2024
Last updated
10/14/2025
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