MARC RICHARD RUSSAK

LOS ANGELES, CA
NPI1003050683
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  25489)
Enumeration Date2009-04-27
Last Update Date2009-04-27
Business Address
-- MARC RICHARD RUSSAK LCSW
1081 WESTWOOD BLVD STE 221
LOS ANGELES, CA 90024-2925
Phone number: 310-800-3986
Mailing Address
-- MARC RICHARD RUSSAK LCSW
1081 WESTWOOD BLVD STE 221
LOS ANGELES, CA 90024-2925
Phone number: 310-800-3986
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