Individual
MRS. LESLIE L RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
514 S DARGAN ST STE H, FLORENCE, SC 29506-2552
(843) 292-8383
Mailing address
2126 BECKETT DR, FLORENCE, SC 29505-3300
(803) 731-4907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007152
SC
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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