Antoinette Maxine Russell LMSW

NPI 1750726113 - Social Worker - 1041C0700X

NPI Details
NPI 1750726113
Gender Female
Enumeration Date 04/29/2013
Last Updated 04/29/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
17545 88TH AVE
APT # 4G
JAMAICA NY, 11432-5759, US
Phone (917) 587-5550
Fax
Business Location
17545 88TH AVE
APT # 4G
JAMAICA NY, 11432-5759, US
Phone (917) 587-5550
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 0805301-1
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According to our database, Ms. Antoinette Maxine Russell LMSW NPI is 1750726113, taxonomy code is 1041C0700X and license number is 0805301-1, license state is located at New York. Antoinette Maxine Russell LMSW physically located at 17545 88th Ave, Jamaica NY, 11432-5759. NPI Number Antoinette Maxine Russell LMSW has the Individual type.

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1750726113 NPI number is provided on an as is basis without warranty of any kind. 1750726113 is maintained by the National Plan & Provider Enumeration System. The contents of Antoinette Maxine Russell LMSW are for informational purposes only.