Individual
BOBBIE JEAN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1020 BYRON LN, ARLINGTON, TX 76012-1826
(214) 529-0622
Mailing address
1020 BYRON LN, ARLINGTON, TX 76012-1826
(214) 529-0622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65453
TX
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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