Individual
JILLIAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 S RODNEY PARHAM RD STE 12, LITTLE ROCK, AR 72205-4774
(501) 575-2344
Mailing address
300 S RODNEY PARHAM RD STE 12, LITTLE ROCK, AR 72205-4774
(501) 575-2344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8808-C
AR
Other
Enumeration date
02/27/2007
Last updated
09/04/2024
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