Mr. Thomas Charles Russell Sr., SOCIALWORK
Mr. Thomas Charles Russell Sr., SOCIALWORK is a Clinical Social Worker in Richfield, Utah. Licensed in Arizona and Utah. Registered with an NPI since 2024.
- Licensed in
- AZ, UT
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
449 N Sr 118Richfield, UT 84701-2378
Phone: (435) 201-9389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 12282390-3501 (UT) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence LCSW-15843 (AZ) |
Record details
| NPI number | 1235957044 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOCIALWORK |
| Sole proprietor | No |
| NPI enumerated | September 30, 2024 |
| Last updated in NPPES | September 30, 2024 |
| Certification date | September 30, 2024 |
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