SearchWisconsin1041C0700X

Abigail Russell, LCSW

NPI 1396473955 · on the registry since 2022

Practice

Address
480 Pilgrim Way # 1300-A
Green Bay, WI 54304
Phone
(920) 610-5119
Fax
(920) 610-5120
Clinicians at this address
12

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin