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Organization

RUSSELL WELLNESS AND RECOVERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN PHIPPS (OFFICE MANAGER)
(661) 313-3184
Entity
Organization

Contact information

Practice address
109 N BRIDGE ST, ELKTON, MD 21921-5326
(667) 441-4677
Mailing address
109 N BRIDGE ST, ELKTON, MD 21921-5326

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary

Other

Enumeration date
04/17/2026
Last updated
04/17/2026
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