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Individual

MS. KRISTEN DONNA RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
500 VINE ST, CAPITOL REGION MENTAL HEALTH CENTER, HARTFORD, CT 06112-1639
(860) 293-6330
(860) 297-0915
Mailing address
500 VINE ST, CAPITOL REGION MENTAL HEALTH CENTER, HARTFORD, CT 06112-1639
(860) 293-6330
(860) 297-0915

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006269
CT

Other

Enumeration date
12/15/2006
Last updated
05/05/2016
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