RUSSELL ELLIOTT

TYLER, TX
NPI1942861547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  60332)
Enumeration Date2019-06-25
Last Update Date2019-06-25
Business Address
RUSSELL ELLIOTT LCSW
18051 FM 2015
TYLER, TX 75706-3130
Phone number: 308-430-8087
Mailing Address
RUSSELL ELLIOTT LCSW
18051 FM 2015
TYLER, TX 75706-3130
Phone number: 308-430-2584
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