Female

Pamela D. Russell LICSW

Clinical Social Worker in Yakima, WA(View on Map)

Full Name

Pamela Dawn Russell LICSW

NPI Number

1639296205

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/26/2007

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington
Washington

License Number

LW60458616
60458616

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 532
6 S 2ND ST SUITE 712

City

Selah
Yakima

State

WA
WA

Postal Code

98942-0532
98901-2629

Country

US
US

Telephone Number

(509) 490-2584
(509) 490-2584

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/25/2021

Provider Address

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