| Anna M Russell Lcsw Pc | |
|
2909 Bent Ave Cheyenne WY 82001-2742 | |
| (307) 634-6594 | |
| Not Available |
| Full Name | Anna M Russell Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2909 Bent Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Anna M Russell (OWNER) |
| Authorized Official Contact | 3076346594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna M Russell Lcsw Pc 2909 Bent Ave Cheyenne WY 82001-2742 Ph: (307) 634-6495 | Anna M Russell Lcsw Pc 2909 Bent Ave Cheyenne WY 82001-2742 Ph: (307) 634-6594 |
| NPI Number | 1659560225 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659560225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 231 (Wyoming) | Primary |
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