Russ, Emily D

Russ, Emily D is an sole proprietor health care provider with primary practice located at 3912 Cedar Cir , Tucker GA 30084-7339. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russ, Emily D can be contacted via phone (770) 414-9742.

Contact Information

Primary practice address
3912 Cedar Cir Tucker GA 30084-7339
Fax: (770) 414-8296
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW002677 Georgia

Profile Details

NPI number 1245468719
LBN Legal business name Russ, Emily D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated Nov 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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