| NPI Details | |
|---|---|
| NPI | 1063472181 |
| Gender | Female |
| Enumeration Date | 03/24/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1349 MAIN ST HOLDEN MA, 01520, US |
|
| Phone | (508) 829-2771 |
| Fax | (508) 829-2774 |
| Business Location | |
|---|---|
| 1349 MAIN ST HOLDEN MA, 01520, US |
|
| Phone | (508) 829-2771 |
| Fax | (508) 829-2774 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1041C0700X |
| License State | New York |
| License Number | R040227-1 |
| Remove 1063472181 NPI Number | |
According to our database, Anne Paulette Russo LICSW NPI is 1063472181, taxonomy code is 1041C0700X and license number is R040227-1, license state is located at New York. Anne Paulette Russo LICSW physically located at 1349 Main St, Holden MA, 01520. NPI Number Anne Paulette Russo LICSW has the Individual type.
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1063472181 NPI number is provided on an as is basis without warranty of any kind. 1063472181 is maintained by the National Plan & Provider Enumeration System. The contents of Anne Paulette Russo LICSW are for informational purposes only.
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