Individual
JULIA FRANCES RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BENTLEY ST APT 1, BRIGHTON, MA 02135-2901
(508) 971-0070
Mailing address
13 AUBURN ST, WALTHAM, MA 02453-2803
(508) 971-0070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
01/16/2025
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