SCOTTY WAYNE RUSSELL

LITTLE ROCK, AR
NPI1639391071
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  1783-M)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Mr. SCOTTY WAYNE RUSSELL LMSW
4300 W 7TH ST
LITTLE ROCK, AR 72205-5446
Phone number: 501-257-3316
Mailing Address
Mr. SCOTTY WAYNE RUSSELL LMSW
1007 W BOOTH RD
SEARCY, AR 72143-8628
Phone number: 501-279-7658