Shannon D Russell
Shannon D Russell is a Clinical Social Worker in East Hartford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2018
Practice location Address checks out
1406 Main StEast Hartford, CT 06108-1684
Phone: (860) 249-0975
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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 6372 (CT) |
|---|
Record details
| NPI number | 1790273647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 26, 2018 |
| Last updated in NPPES | April 26, 2018 |
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