Individual
ASHLEY KRYSTAL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2565 LONDON GROVEPORT RD, GROVE CITY, OH 43123-9035
(614) 277-2921
Mailing address
2565 LONDON GROVEPORT RD, GROVE CITY, OH 43123-9035
(614) 277-2921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C013618
NC
1041C0700X
Clinical Social Worker
Primary
1.2203520
OH
1041C0700X
Clinical Social Worker
C013618
NC
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/28/2018
Last updated
09/23/2023
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