NICOLE RUSSELL

BROWN DEER, WI
NPI1255168795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  135135)
Enumeration Date2024-09-18
Last Update Date2024-09-18
Business Address
NICOLE RUSSELL
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209-1220
Phone number: 414-540-2170
Mailing Address
NICOLE RUSSELL
3900 W BROWN DEER RD STE 200
BROWN DEER, WI 53209-1220
Phone number: 414-540-2170