Russell, Nancy Rae

Russell, Nancy Rae is an individual health care provider with primary practice located at 6737 1St Ave S , St Petersburg FL 33707-1307. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Nancy Rae can be contacted via phone (727) 341-1000.

Contact Information

Primary practice address
6737 1St Ave S St Petersburg FL 33707-1307
Phone: (727) 341-1000
Fax: (727) 341-1000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6791 Florida

Profile Details

NPI number 1003942962
LBN Legal business name Russell, Nancy Rae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Feb 22nd, 2012 - 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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