ELYSIA RUSSELL, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1114680071
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | SWB-2023-1117 (NM) |
Frequently Asked Questions
NPI 1114680071 is the National Provider Identifier for ELYSIA RUSSELL, LCSW, a Social Worker - Clinical provider located in Farmington, NM. This NPI was enumerated on October 18, 2021.
ELYSIA RUSSELL, LCSW practices at 313 W APACHE ST, Farmington, NM 87401.
Quick Facts
- NPI
- 1114680071
- Type
- Individual
- Enumerated
- Oct 18, 2021
- Last Updated
- Mar 31, 2025
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