JACQUELINE RUSSELL
Social Worker - Clinical
Active
Individual
NPI: 1194267419
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | S1601116 (OH) |
| Social Worker - Clinical | 1041C0700X | Yes | C-11118 (NM) |
Frequently Asked Questions
NPI 1194267419 is the National Provider Identifier for JACQUELINE RUSSELL, a Social Worker - Clinical provider located in Alamogordo, NM. This NPI was enumerated on November 17, 2016.
JACQUELINE RUSSELL practices at 1301 OREGON AVE, Alamogordo, NM 88310.
Quick Facts
- NPI
- 1194267419
- Type
- Individual
- Enumerated
- Nov 17, 2016
- Last Updated
- Feb 9, 2024
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