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Individual

MS. JUDY RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1196 OLD TOWN BRANCH RD, RICHMOND, KY 40475-8115
(859) 576-0170
Mailing address
1196 OLD TOWN BRANCH RD, RICHMOND, KY 40475-8115
(859) 576-0170

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255074
KY

Other

Enumeration date
03/09/2023
Last updated
03/09/2023
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