Russell, Constance Elaine

Russell, Constance Elaine is an sole proprietor health care provider with primary practice located at 6400 Manatee Ave W Suite F, Bradenton FL 34209-2378. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Constance Elaine can be contacted via phone (941) 795-2228.

Contact Information

Primary practice address
6400 Manatee Ave W Suite F Bradenton FL 34209-2378
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00324 Florida

Profile Details

NPI number 1427002708
LBN Legal business name Russell, Constance Elaine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Aug 27th, 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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