Individual
MRS. CHRISTINA RACHELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7116 CLINTON RD STE A, UPPER DARBY, PA 19082-5212
(856) 629-0464
Mailing address
7116 CLINTON RD STE A, UPPER DARBY, PA 19082-5212
(856) 629-0464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC06041600
NJ
1041C0700X
Clinical Social Worker
Primary
CW018168
PA
1041C0700X
Clinical Social Worker
Q5-0000112
DE
Other
Enumeration date
01/25/2020
Last updated
11/02/2024
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