Individual
EMILY DANIELLE HOFFMAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LISW
Contact information
Practice address
335 GLESSNER AVE FL MOB5, MANSFIELD, OH 44903-2269
(419) 756-2003
(419) 756-3637
Mailing address
263 E WALNUT ST, MARION, OH 43302-5145
(419) 310-9798
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901521
OH
Other
Enumeration date
09/26/2013
Last updated
09/11/2019
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