Individual
CHARDAE MARTINEZ RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
7315 KRUME CT APT 1226, RALEIGH, NC 27613-7198
(919) 327-8349
Mailing address
7315 KRUME CT APT 1226, RALEIGH, NC 27613-7198
(919) 327-8349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019998
NC
Other
Enumeration date
06/04/2024
Last updated
07/24/2024
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