Mr Thomas Charles Russell Sr, SOCIAL WORK | |
449 N Sr 118, Richfield, UT 84701-2378 | |
(435) 201-9389 | |
Not Available |
Full Name | Mr Thomas Charles Russell Sr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 449 N Sr 118, Richfield, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235957044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-15843 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | 12282390-3501 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Charles Russell Sr, SOCIAL WORK 195 N 1950 W, Salt Lake City, UT 84116-3100 Ph: (435) 201-9389 | Mr Thomas Charles Russell Sr, SOCIAL WORK 449 N Sr 118, Richfield, UT 84701-2378 Ph: (435) 201-9389 |
Clifford V Whatcott, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 493 E 1010 N, Richfield, UT 84701 Phone: 435-864-7681 | |
Randall E. Chesley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 S Main St, Richfield, UT 84701 Phone: 435-896-8236 Fax: 435-896-9584 | |
Lamonte T Meacham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 S Main St, Richfield, UT 84701 Phone: 435-896-8236 Fax: 435-896-9584 | |
Yonna Marie Winget, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St Ste G, Richfield, UT 84701 Phone: 435-896-9200 Fax: 435-896-8101 | |
Sara Autumn Ellsworth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 S Main St, Richfield, UT 84701 Phone: 435-896-8236 | |
Mr. Chris G Farrer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 682 North Main, Richfield, UT 84701 Phone: 435-201-9576 |