RUSSELL ELLIOTT, LCSW

Social Worker - Clinical

Active Individual
NPI: 1942861547

Practice Address

18051 FM 2015
Tyler, TX 75706

Phone: (308) 430-8087

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 60332 (TX)

Frequently Asked Questions

NPI 1942861547 is the National Provider Identifier for RUSSELL ELLIOTT, LCSW, a Social Worker - Clinical provider located in Tyler, TX. This NPI was enumerated on June 25, 2019.
RUSSELL ELLIOTT, LCSW practices at 18051 FM 2015, Tyler, TX 75706.

Quick Facts

NPI
1942861547
Type
Individual
Enumerated
Jun 25, 2019
Last Updated
Jun 25, 2019

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