Individual
DENISE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 AUTUMN RD STE 4, LITTLE ROCK, AR 72211-3768
(501) 221-1941
(501) 224-1340
Mailing address
PO BOX 251970, LITTLE ROCK, AR 72225-1970
(501) 666-8686
(501) 660-6830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
02/05/2014
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