JESSICA RUSSELL, LCSW

Social Worker - Clinical

Active Individual
NPI: 1891196861

Practice Address

15 FAIRVIEW AVE
Ellington, CT 06029

Phone: (860) 559-7478

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1891196861 is the National Provider Identifier for JESSICA RUSSELL, LCSW, a Social Worker - Clinical provider located in Ellington, CT. This NPI was enumerated on September 10, 2014.
JESSICA RUSSELL, LCSW practices at 15 FAIRVIEW AVE, Ellington, CT 06029.

Quick Facts

NPI
1891196861
Type
Individual
Enumerated
Sep 10, 2014
Last Updated
Feb 6, 2023

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