TYLER RUSSELL, LICSW

LICSW

Clinical Social Worker

NPI: 1033055991Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

33093(MN)

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Contact & Hours

Address: 9220 BASS LAKE RD STE 255
NEW HOPE, MN 55428
Phone: (763) 225-4052

Quick Facts

NPI: 1033055991
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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