JACKIE LEE RUSSELL

DILLINGHAM, AK
NPI1104261346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OR  M5424)
Enumeration Date2013-05-01
Last Update Date2013-05-01
Business Address
-- JACKIE LEE RUSSELL LSW, MSW, LMSW
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
Mailing Address
-- JACKIE LEE RUSSELL LSW, MSW, LMSW
PO BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
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