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Brian Russell, LCSW
NPI 1407078603 · on the registry since 2007
Practice
- Address
- 4823 N Royal Atlanta Dr
C
Tucker, GA 30084 - Phone
- (770) 939-2121
- Organisation at this address
- Lds Family Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- TX, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-20
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 Georgia