Individual
ANGELA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1030 BURLINGTON LN STE 3B, FRANKFORT, KY 40601-8444
(859) 254-1035
Mailing address
527 WILLIAMSBURG RD, FRANKFORT, KY 40601-1346
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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