Individual
MR. JAH-EL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(404) 556-3933
Mailing address
8302 FLOWER AVE APT 5, TAKOMA PARK, MD 20912-6742
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50079915
DC
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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