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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. HEATHER MARIE RUSSOM-EARLS, LCSW

Active Sole Proprietor

MRS. HEATHER MARIE RUSSOM-EARLS, LCSW is a Clinical Social Worker healthcare provider located in KENNETT, Missouri. NPI 1447755418 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · KENNETT, MO

Registration Details

NPI Number
1447755418
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2018 (8.3676729574266 yrs)
Last Updated
Apr 1, 2021
Licenses
2020012392 (MO)
2018010403 (MO)
Sole Proprietor
Yes

Practice Information

Address
935 STATE ROUTE VV
KENNETT, MO, 638573822
Browse MO providers · Browse ZIP 63857
Phone
5738885925
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in KENNETT, MO

Name Credential NPI
TIFFANY A LEEKER LCSW 1669562591
MRS. DONNA J. SEAL LCSW 1497956718
JUDY M LUTTRELL BSW 1427387851
ERICA NEW LCSW 1598088817
MS. TINA L CARTER LCSW 1285996470
JEANIE WELCH LCSW 1013267384
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.