Individual
SEBRINA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 ARROWHEAD BLVD STE C1&C2, JONESBORO, GA 30236-1255
(404) 391-7675
Mailing address
4305 PAXTON LN SW APT 105, LILBURN, GA 30047-3390
(601) 466-7671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007839
GA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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