Individual
ALYSSA L. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6425 S. HARVEY ST, NORTON SHORES, MI 49444-9739
(231) 737-3469
(231) 737-4548
Mailing address
5800 FOREMOST DR SE STE 300, GRAND RAPIDS, MI 49546-7062
(616) 954-9800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095508
MI
Other
Enumeration date
06/28/2016
Last updated
03/13/2020
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