BRANDY RUSSELL-MERVOSH

BLOOMINGTON, IN
NPI1275504623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002977A)
Enumeration Date2006-02-01
Last Update Date2017-02-17
Business Address
Ms. BRANDY RUSSELL-MERVOSH LCSW
901 S ROGERS ST
BLOOMINGTON, IN 47403-4760
Phone number: 812-323-9890
Mailing Address
Ms. BRANDY RUSSELL-MERVOSH LCSW
PO BOX 599
SPENCER, IN 47460-0599
Phone number: 812-829-2526