Individual
AMANDA CHRISTINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1951 NW 7TH AVE FL 3, MIAMI, FL 33136-1104
(305) 902-6347
Mailing address
1951 NW 7TH AVE FL 3, MIAMI, FL 33136-1104
(305) 902-6347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34010679A
IN
1041C0700X
Clinical Social Worker
300081264
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/24/2013
Last updated
03/09/2026
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