REGINA RUSSELL, LCSW

Social Worker - Clinical

Active Individual
NPI: 1003886276

Practice Address

315 S MAIN AVE
Bolivar, MO 65613

Phone: (417) 326-2902

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 004758 (MO)

Frequently Asked Questions

NPI 1003886276 is the National Provider Identifier for REGINA RUSSELL, LCSW, a Social Worker - Clinical provider located in Bolivar, MO. This NPI was enumerated on January 23, 2006.
REGINA RUSSELL, LCSW practices at 315 S MAIN AVE, Bolivar, MO 65613.

Quick Facts

NPI
1003886276
Type
Individual
Enumerated
Jan 23, 2006
Last Updated
Jul 8, 2007

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