Individual
MRS. ANDREA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 828-9116
Mailing address
65 E WASHINGTON ST, NORTH ATTLEBORO, MA 02760-2330
(508) 828-9116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
11/26/2012
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