Individual
SHANELLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 PENNSYLVANIA AVE SE STE C, WASHINGTON, DC 20020-6729
(202) 748-5641
Mailing address
1928 NAYLOR RD SE APT 102, WASHINGTON, DC 20020-6881
(202) 938-7025
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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