Individual
JENNIFER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22214 D ST, WINFIELD, KS 67156-7376
(620) 221-9664
Mailing address
3354 HIGHWAY 160, INDEPENDENCE, KS 67301-7841
(620) 331-1748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14850-T
KS
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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