Dena Littlejohn Russell LISW-CP, CACII

NPI 1134456692 - Social Worker - 104100000X

NPI Details
NPI 1134456692
Gender Female
Enumeration Date 11/04/2009
Last Updated 03/29/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
9810 LEE ROAD, FORT JACKSON
ARMY SUBSTANCE ABUSE PROGRAM
COLUMBIA SC, 29207-6086, US
Phone (803) 751-2351
Fax (803) 751-7942
Business Location
202 HOLLY ST
COLUMBIA SC, 29205-2560, US
Phone (803) 261-3569
Fax
Toxanomy
Taxonomy Code 104100000X
License State South Carolina
License Number 5610
Remove 1134456692 NPI Number
 

According to our database, Dena Littlejohn Russell LISW-CP, CACII NPI is 1134456692, taxonomy code is 104100000X and license number is 5610, license state is located at South Carolina. Dena Littlejohn Russell LISW-CP, CACII physically located at 9810 Lee Road, Fort Jackson, Columbia SC, 29207-6086. NPI Number Dena Littlejohn Russell LISW-CP, CACII has the Individual type.

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1134456692 NPI number is provided on an as is basis without warranty of any kind. 1134456692 is maintained by the National Plan & Provider Enumeration System. The contents of Dena Littlejohn Russell LISW-CP, CACII are for informational purposes only.