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Contact Information

RUSSELL WELLNESS AND RECOVERY CENTER LLC
109 N BRIDGE ST
ELKTON, MD21921-5326
 Phone: 667-441-4677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RUSSELL WELLNESS AND RECOVERY CENTER LLC · (Female)

NPI # 1275477333
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2026
Last updated 04/17/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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