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Andrea Russell, LMSW
NPI 1992803795 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4230 Copper Ridge Dr
Traverse City, MI 49684 - Phone
- (231) 935-6380
- Fax
- (231) 935-6920
- Organisation at this address
- Munson Medical Center
Munson Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 800 Cottageview Dr Ste 1076, Traverse City, MI
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-17
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 Michigan