TESHERA RUSSELL, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1902404544
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | 101063 (NY) |
| Social Worker - Clinical | 1041C0700X | Yes | 090635 (NY) |
Frequently Asked Questions
NPI 1902404544 is the National Provider Identifier for TESHERA RUSSELL, LCSW, a Social Worker - Clinical provider located in Bronx, NY. This NPI was enumerated on October 15, 2020.
TESHERA RUSSELL, LCSW practices at 1523 UNIONPORT RD APT 6F, Bronx, NY 10462.
Quick Facts
- NPI
- 1902404544
- Type
- Individual
- Enumerated
- Oct 15, 2020
- Last Updated
- May 20, 2024
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