Individual
SARAH J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2462 HAVENWOOD CT, CARSON CITY, NV 89706-2347
(616) 581-1800
Mailing address
2462 HAVENWOOD CT, CARSON CITY, NV 89706-2347
(616) 581-1800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094047
MI
Other
Enumeration date
03/22/2013
Last updated
09/02/2020
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