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DR. RUSSELL E HILLIARD PHD, LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1427628031
Individual Registrant:DR. RUSSELL E HILLIARD PHD, LCSW
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
232 GARDEN CT LAUDERDALE BY THE SEA, FL 33308-5421 US
Tel: 954-952-6194 Fax: --
Tel: 954-952-6194 Fax: --
Contact information for business:
232 GARDEN CT LAUDERDALE BY THE SEA, FL 33308-5421 US
Tel: 954-952-6194 Fax: --
Tel: 954-952-6194 Fax: --
Registration Information:
NPI: 1427628031
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | FL | SW12690 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
