Individual
SYDNEY ALEXIS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 N HANCOCK ST, MADISON, WI 53703-2802
(608) 251-6901
Mailing address
4 N HANCOCK ST, MADISON, WI 53703-2802
(608) 251-6901
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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