Individual
EMILY D RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 S PICHER AVE, JOPLIN, MO 64804-1645
(417) 347-7825
(417) 347-9727
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7825
(417) 347-9727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MO
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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