Individual
MS. CHERYL ANN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CLEVELAND AVE NW, CANTON, OH 44702-1836
(330) 455-0374
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0018416
OH
Other
Enumeration date
08/30/2017
Last updated
03/07/2019
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