George Russell LCSW

NPI 1316182546 - Social Worker - 1041C0700X

NPI Details
NPI 1316182546
Gender Male
Enumeration Date 12/02/2008
Last Updated 12/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
77 COURT ST
BANGOR ME, 04401-4723, US
Phone (207) 941-0879
Fax (207) 941-0880
Business Location
77 COURT ST
BANGOR ME, 04401-4723, US
Phone (207) 941-0879
Fax (207) 941-0880
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number LC7659
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According to our database, George Russell LCSW NPI is 1316182546, taxonomy code is 1041C0700X and license number is LC7659, license state is located at Maine. George Russell LCSW physically located at 77 Court St, Bangor ME, 04401-4723. NPI Number George Russell LCSW has the Individual type.

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1316182546 NPI number is provided on an as is basis without warranty of any kind. 1316182546 is maintained by the National Plan & Provider Enumeration System. The contents of George Russell LCSW are for informational purposes only.