Individual
HEATHER LYNN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 CENTRAL AVE, KEARNEY, NE 68847-5302
(308) 627-4743
(308) 224-3711
Mailing address
2002 CENTRAL AVE, KEARNEY, NE 68847-5302
(308) 293-4380
(308) 224-3711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11357
NE
Other
Enumeration date
12/26/2017
Last updated
05/24/2021
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