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Individual

GABRIELLA RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4555 DELRIDGE WAY SW, SEATTLE, WA 98106-1379
(206) 937-7680
Mailing address
4555 DELRIDGE WAY SW, SEATTLE, WA 98106-1379

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
Primary
SWIA.SC.61200068
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/15/2019
Last updated
05/06/2026
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