Individual
MRS. CORTNEY MICHELLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
2626 CHARLES DR, CHALMETTE, LA 70043-3779
(504) 278-4006
(504) 278-4007
Mailing address
2117 ICHLAND AVENUE, APARTMENT 34, METAIRIE, LA 70001
(504) 222-7591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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