Individual
MS. CATHERINE A RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, DCSW
Contact information
Practice address
VA CLINIC, 21425 SPRING, UNION GROVE, WI 53182
(262) 878-7011
Mailing address
23423 CHURCH RD, KANSASVILLE, WI 53139-9726
(262) 878-2638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2857-123
WI
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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