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Simone Russell
NPI 1750147732 · on the registry since 2024
Practice
- Address
- 4626 N 300 W Ste 150
Provo, UT 84604 - Phone
- (801) 407-4134
- Fax
- (801) 877-0864
- Organisation at this address
- Sela Health, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-26
- Status
- Not present in the most recent federal file
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 Utah