Individual
DONNA LYNCH RUSSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8149 NEW LAGRANGE RD, SUITE 101, LOUISVILLE, KY 40222-4689
(502) 931-7490
(502) 244-2725
Mailing address
707 BERWYN DR, LOUISVILLE, KY 40223-2793
(502) 931-7490
(502) 244-2725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
805
KY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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