| Doctor Name: | MS. CATHERINE A RUSSELL |
| NPI Number: | 1932142197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW, DCSW |
| License Number: | 2857-123 |
| Business Practice Address: | Va Clinic 21425 Spring Union Grove, WI - 53182 |
| Business Phone Number: | 2628787011 |
| Business Fax Number: | |
| Mailing Address: | 23423 Church Rd, KANSASVILLE |
| State: | WI |
| Postal Code: | 531399726 |
| Phone Number: | 2628782638 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2857-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |