Russell, Myra
Russell, Myra is an sole proprietor health care provider with primary practice located at 108 W Main St , Norton MA 02766-1248. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Myra can be contacted via phone (508) 285-9400.Contact Information
Primary practice address
108 W Main St
Norton MA 02766-1248
Phone: (508) 285-9400
Fax: (508) 285-6573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 217467 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW01289 | Rhode Island |
Profile Details
| NPI number | 1912143165 |
|---|---|
| LBN Legal business name | Russell, Myra |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2008 |
| Last updated | Nov 30th, 2011 - about 13 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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