TRACY RUSSELL

RALEIGH, NC
NPI1609326826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P010744)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence:   P010744)
Enumeration Date2016-10-12
Last Update Date2019-01-25
Business Address
TRACY RUSSELL MSW, LCSW-A
9205 BAILEYWICK RD
RALEIGH, NC 27615-1977
Phone number: 919-845-5400
Mailing Address
TRACY RUSSELL MSW, LCSW-A
5411 NEWHALL RD
DURHAM, NC 27713-2523
Phone number: 336-392-2639