REGINA RUSSELL

BOLIVAR, MO
NPI1003886276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  004758)
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
-- REGINA RUSSELL LCSW
315 S MAIN AVE
BOLIVAR, MO 65613-2052
Phone number: 417-326-2902
Mailing Address
-- REGINA RUSSELL LCSW
315 S MAIN AVE
BOLIVAR, MO 65613-2052
Phone number: 417-326-2902